1982, 08-25 Permit M82A-7459 Gas Conversion(PLAN NUMBER
APPLICATION/PERMIT
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
m
PERM] I NUMtltK
&'4 •7459
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3 COPIES
JOB ADDRESS
LEGAL DESCRIPTION - SEE ATTACHED
LOT BLOCK SUBDIVISION
OWNER
3 bAk-E.
ADDRESS
T / 1Lfl S-'>WbvW*y
CONTRACTOR b
a Ali
. u.
ADDRESS
5.
C. 1oy�
DESIGNER
PHONE
ZIP
PHONE
C�7-(0t``1
ZIP
PHONE
ADDRESS
ZIP
PARCEL NUMBER/S
Actual Set Backs in Feet
North 'South East 'Wes
Size of Parcel Zone Classification
Type Const.
Occupancy
Valuation
Main Floor
CHANGE OF USE FROM
6.
TO
Upper Floors
Area of Decks
Sprinklered
❑Yes ENo ❑ Req'd.
Building Area in Sq. Ft.
Garage Area
Storage
Finished Basement
Unfin. Basement
TYPE
7, OF
WORK
ILYNEW ❑ ALT. ❑ AD' . ❑ RPL. ❑ MVE.
D BLD. ❑ PLMB. MECH. ❑ M.H. ❑ POOL
DESCRIBE WORK
VALUATION SOURCE
OF
9. UTILITIES
GAS
ELECTRIC
0 OTHER
No. Baths
No. Stories
No. Rooms
No. of Dwellings
CERTIFICATE
of EXEMPTION
Enum, Dist. I Location (Area)
Req'd.
WATER
SEWER
Ownership
Public ❑ Private ❑
USE CODE
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. SEE REVERSE SIDE FOR REQUIRED INSPECTIONS
DATE OF APPLICATION SIGNATURE OF APPLICANT
SPECIAL APPROVALS
NAME DATE
Env. Health
Planning
Fire Marshall
Co. Engineer
Utilities
Plans Examiner
SEPA Checklist
SPECIAL CONDITIONS:
9J(5 Cc &3 Skit -0
i
Rec'd.
Not Req'd.
FEES COLLECTED
Single $
Building
Plumbing
Mech.
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL
$ (g
C4* *1800
*18,006
*0.00
745.8g_
08-25-82
g. 6479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
PERMIT IS NONTRANSFERABLE
08-25-82
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED
745,95
PERMIT NO.
* 1 8. 0 0
O J _
aI-
TOTAL