1982, 06-10 Permit 82A-4752 DeckPLAN NUMBER
APPLICATION/PERMIT
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
PERMIT NUMBS
4-7 6 z
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
JOB ADDRESS
1. E ) 0'-7 l -2- F Di'1 VE.
LOT
BLOCK
SUBDIVISION
MYRoN1 s r `TES 8
2. z
OWNER
3. �1IM LR
ADDRESS
E. - Z? 41SAS?
CONTRACTOR
l.g S-TyzUci1oN corheAp' iNC..
4. ADDRESS
E; . 2+7 A u cxu-s'-" A
DESIGNER
5' ADDRESS
PHONE
3ZY- .33'c 3
ZIP
err Zo 7
PHONE
3'z8- 36'93
ZIP
c(c(ZL 7
PHONE
ZIP
LEGAL DESCRIPTION — SEE ATTACHED
PARCEL NUMBER/S ,j(z_ �lc/IC-Zoo I-Zo%
Actual Set Backs in Feet
North too 'South East 'West C,Q
Size of Parcel
% 2 AcR,E,-C
Type Const.
V-N
ValuAtion
1L.Y0
Occupancy
Zone Classification
S)MCLJ. FpcMll-.yS
Sprinklered
❑Yes ❑No ❑ Req'd.
Building Area in Sq. Ft.
ita
Main Floor I Upper Floors Garage Area
Storage
CHANGE OF USE FROM
6.
TYPE
7, OF
WORK
TO
❑ NEW El ALT. IkAD'N. ❑ RPL. ❑ MVE.
V1-4LD. ❑ PLMB. ❑ MECH. ❑ M.H. ❑ POOL
DESCRIBE WORK
8. APDIT'ioN of Prec-IG 7.2 Re-SINENC'E-
9.
VALUATION
SOURCE
OF
UTILITIES
GAS
ELECTRIC
WATER
❑ OTHER
SEWER
Area of Decks
60
No. Baths
Finished Basement
No. Stories
No. Rooms
Unfin_ Basement
No. of Dwellings
CERTIFICATE
of EXEMPTION
Enum. Dist. I Location (Area)
Ownership
Public ❑ Private
USE CODE
Req'd.
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. SEEREVERSE SIDE FOR REQUIRED INSPECTIONS
DATE OF APPLICATION £' 4'/fZ SIGNATURE OF APPLICANT.7?,4( ��•►�
SPECIAL APPROVALS
NAME DATE
Env. Health
Planning
Fire Marshall
Co. Engineer
Utilities
xam ne
SE BQ Checklist
B`ilI)Tec n
SPECIAL CONDITIONS:
PERMIT IS NONTRANSFERABLE
Rec'd.
Not eq'd.
FEES COLLECTED
Single $
Building •026,J(
Plumbing
Mech.
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL $ 26 -XX
02* *2600
*2600
*26006
A *000
4761
06-10,-82
2 6479
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
0.6,-1110.-82 47.6.2z *26..002 -
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PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL
9�F VAN MAIZ-tk-IZ
/96.
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