1982, 08-24 Permit M82A-7398 Central ACPLAN NUMBER
C
APPLICATION/PERMIT
SPOKANE COUNTY - BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
1.
JOB ADDRESS
LOT
2.
3 / la'
ADDRS
CQINTRA T R
0S-0k m.�
< e') -.)o
BLOCK lUBDIVISION
PoII0 JE
DESIGNER
5. ADDRESS
LEGAL DESCRIPTION — SEE ATTACHED
PARCEL NUMBER/S
Actual Set Backs In Feet
North (South East 'West
ZIP)
q-620
,,PHONE
•// 7 C)
PHONE
Size of Parcel 1 Zone Classification
Type Const.
Occupancy
Sprinklered
❑Yes ❑No 0 Req'd.
Valuation (Building Area in Sq. Ft.
ZIP
Main Floor
Upper Floors I Garage Area
Storage
CHANGE OF USE FROM
6.
TYPE
7. OF
WORK
TO
❑ NEW 0 ALT. 0 AD'N. ❑ RPL. ❑ MVE.
❑ BLD. ❑ PLMB. ECH. ❑ M.H. 0 POOL
0 OTHER
Area of Decks
No. Baths
Finished Basement
No. Stories
No. Rooms
Unfin. Basement
No. of Dwellings
CERTIFICATE
of EXEMPTION
Req'd.
Rec'd.
Not Req'd.
DESCRIBE WOR
8.
eSL
Enum. Dist.
Location (Area)
VALUATION
9.
SOURCE
OF
UTILITIES
GAS
ELECTRIC
WATER 1 SEWER
Ownership
Public 0 Private 0
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
FEES COLLECTED
Single $
Building
to give authority to violate or cancel the provisions of any other state or I a I law regulatin construction or the
performance of constructi n. SEE REVERSE SIDE FOR REQUIRED INSPEIONS — Plumbing
DATE OF APPLICATION 1 -/may. SIGNATURE OF APPLIC= .� � L fj� 1 7s-4 Mech.
SPECIAL APPROVALS
NAME DATE
Env. Health
Planning
Fire Marshall
Co. Engineer
Utilities
Plans Examiner
SEPA Checklist
SPECIAL CONDITIONS:
t���
PERMIT IS NONTRANSFERABLE
nrnwwrr rvnlnr[. nwtr Vrnn runs• rsnrr AC lo(Y 1n NIfr
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL
PERMIT NUMBER
08
04* *14,00
* 1 4.006
A *0.00 8
739.72
08-24-82
g 6,479,
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
08'82. 739,85 *1400a� -