1982, 04-28 Permit 82A-3303 AdditionPLAN NUMBER
APPLICATION/PERMIT
SPOKANE COUNTY - BUILDING CODES DEPARTMENT
PERMIT NUMBER '
NORTH 811 JEFFEASON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
JOB ADDRESS
LOT
N 4/U-1$ Y-c
BLOCK SUBDIVISION
OWNER
3 I--t v\) E �!
ADDRESS P
CONTRACTOR
4. ADDRESSZikrAE
DESIGNER
5. ADDRESS
PHONE
ZIPP/'
PHONE
ZIP
PHONE
ZIP
LEGAL DESCRIPTION — SEE ATTACHED
PARCEL NUMBER/S OF .
�-� l J I O' or 4a7`3
1544 —
Actual Set Backs in Feet
North ZS 4. (South East `J - (West
Size of Parcel Zone Classification
IZca Z5� A 6,, ‘,;a sAN
Type Const. Occupancy Sprinklered
❑Yes ❑No D Req'd.
Vation
CHANGE OF USE FROM
6.
TO
Main Floor I Upper Floors Garage Area
�7Z
Area of Decks
Finished Basement
Building Area in Sq. Ft.
2? Z
Storage
Unfin_ Basement
TYPE
7. OF
WORK
9.
VipIEW 0 ALT. V'AD'N. ❑ RPL. ❑ MVE.
BLD. ❑ PLMB. ❑ MECH. ❑ M.H. ❑ POOL
DESCRIBE WORK
Apo i c car.► --r1
ATI ON
_ f
VALU
❑ OTHER
No. Baths
No. Stories
No. Rooms
No. of Dwellings
CERTIFICATE
of EXEMPTION
Enum. Dist. 'Location (Area)
Req'd.
SOURCE GAS
OF
UTILITIES
ELECTRIC
WATER
SEWER
Ownership J USE CODE
Public El
��.,/�
I hereby certify that I have read and examined this application and have read the "NOTICE" provisions included
on reverse side, and know the same to be true and correct. All provisions of laws and ordinances governing this
type of work will be complied with whether specified herein or not. The granting of a permit does not presume
to give authority to violate or cancel the provisions of any other state or local law regulating construction or the
performance of construction. S E REVERSE SIDE FOR REQUIRED INSPECTIONS
DATE OF APPLICATION
ao
SIGNATURE OF APPLICANT_
SPECIAL APPROVALS
NAME DATE
ealth
Planning
Fire Marshall
Co. Engineer
Utilities
?f?
l
SPECIAL CONDITIONS:
Req'd.
Not Req'd.
FEES COLLECTED
Single $
Building 4-7.` IIX%
Plumbing
Mech.
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL $ (ID
02 *7500
*75.00
*75.00�
A *000
299,5
'04,-20-82
6479,
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
CII C rnov
Byiik ing Tjchnician
PERMIT IS NONTRANSFERABLE
Or ` '
4r 28--82
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED
330.3z
PERMIT NO.
*75.00a-12 -
TOTAI