1982, 09-02 Permit 82A-7772 2nd Story to Shopa-2,9 .2i3 I
Pit I— r O..11%arpat I Io Ir / 1 %=1i i4I l 1
SPOKANE COUNTY - h;NG CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
PERMIT NUMBER'
` jZA --7-1-1 ?-
2.
JOB ADDRESS
APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3 COPIES
/Lf zz 3 BRO/V=INAY
LOT BLOCK SUBDIVISION
3.
ADDRESS
E . I `%2. 3 BRcAD Why
CONTRACTOR
OWNER
Al_ D.
4. SAS
ADDRESS
DESIGNER
5. ADDRESS
PHONE
zI -491t
ZIP
CY2J C0
PHONE
ZIP
LEGAL DESCRIPTION - SEE ATTACHED
PARCEL NUMBER/S I J3 2 _ (7Z3.7
5 Z6O' or E, irlp5' CMS SI<, of Nt4)-4. £ 'c 12PS.
Actual
+/ac
SeetBacks in Feet
North ( (South
Size of Parcel
f�x2-00
Type ¢onst.
Oycupancy
East I," 'West
Z ne Classification
PHONE
CHANGE OF USE FROM
6.
TYPE
7. OF
WORK
TO
❑ NEW ❑ ALT. AD'N.
ICJ' BLD, ❑ PLMB. ❑ MECH.
DESCRIBE WORK
8 4ppITIC N
VALUATION
❑ RPL.
❑ M.H.
ZIP
❑ MVE.
❑ POOL
❑ OTHER
Valuatipn* _ t
Main Floor
Sprinklered
❑Yes ❑No ❑ Req'd.
Building Area in Sq. Ft.
Area of Decks
No. Baths
Upper Floors
Garage Area
Finished Basement
No. Stories
CERTIFICATE
of EXEMPTION
V 91
Unfin. Basement
No. Rooms INo. of Dwellings
Req'd. Rec'd.
SEC.ia'JO S'7oy TT) Emcili q S%•Ipi'
SOURCE ELECTRIC WATER Ownership
9. UTILITIES Public ❑Private 7
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. E REV SE SIDE FOR REQUIRED INSPECTIONS
346 8
GAS
BiA F.-TO NI
SEWER
DATE OF APPLICATION GNATURE OF APPLICANT
SPECIAL APPROVALS
NAME DATE
Env Health
Planning
Fire Marshall
Co. Engineer
Utilities
Plans Examiner
SEPA Checklis
Bul
SPECIAL CONDITIONS:
Enum. Dist. I Location (Area)
USE CODE
%As ii Jv G
I SP rc 2
PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
Not Req'd.
t'✓
FEES COLLECTED
Single $
Building
Plumbing
Mech.
Plan Check
SEPA
Mobile Home
Ot r (Specy)
TOT L
106
02* *11800
*1C8006
A *0.00 0
7'77.1
'09.-02-82
6479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
4,
09,. E &
82 777.2Z *108.00U-
DATE ISSUED PERMIT NO. TOTAL
a
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LL