1983, 10-14 Permit 83B-461PLAN NUMBER
(7)
APPLICATION/PERMIT
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES — PR
ESS HARD TO MAKE 3 COPIES
►JA DrbEISS
iJ/Q F LOT BLOCK RdSpokane'[SUBDIVISION
Tr ESS 1,ynn Wh l-ina
)DR
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R2 ser0, es
� 3x 565/ Spo kt n� \ ►q
G
DES'NER
5' ADDRESS
P ON
� • -33'5'
ZZgva
Ii377c0-6614
ZI79 J'
PHONE
LEGAL DESCRIPTION — SEE ATTACHED
PARCEL NUMBER/S
Actual Set Backs In Feet
North 'South East 'West
Size of Parcel 1 Zone Classification
Type Const.
Occupancy Sprinklered
❑Yes ❑No ❑ Req'd.
Valuation 'Building Area In Sq. Ft.
ZIP
Main Floor
Upper Floors 1 Garage Area
Storage
CHANGE OF USE FROM
6.
TO
Area of Decks
Finished Basement
Unfin. Basement
TYPE 0 NEW 0 ALT. 0 AD'N. XRPL. ❑ MVE.
% OF WORK El BLD. El PLMB. X' MECH. 0 M.H. 0 POOL ❑ OTHER CERTIFICATE
of EXEMPTION
DESCRIBE WORK .. lace iQ,I inc{ ��e. A C' E' Enum. Dist. Location (Area)
8. IOS,orw FilN qas Viewer-) e leart l lei n i F n Et Vent darn e,-
VALUATION SOURCE GAS ELECTRIC WATER SEWER
ex, OF Ownership USE CODE
9. II )t OLX%• UTILITIES Public ❑ Private 0
I hereby certify that 1 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. SEE REVERSE SIDE FOR REQUIRED INSPECTIONS�/
DATE OF APPLICATION f 0/9/Y SIGNATURE OF APPLICANT �.IGL4O ✓ .,�
No. Baths
No. Stories
No. Rooms
No. of Dwellings
Req'd.
SPECIAL APPROVALS
NAME DATE
Env. Health
Planning
Fire Marshall
Co. Engineer
Utilities
Plans Examiner
SEPA Checklist
SPECIAL CONDITIONS:
PERMIT IS NONTRANSFERABLE
Rec'd.
Not Req'd.
FEES COLLECTED
Single $
Building
Plumbing
Mech. /7(
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL $ l C
PERMIT NUMBER
04* * 1 7.00
* 1 7.006
A *0.00
46.0z
10-14-83
6.479,
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BE Q QWVIESIArFERMIT.
10 •.,14 -8"3 4'6,1' .
*117,00_
>—
a
U
W
J
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL