1982, 01-04 Permit: 82B0025 Relocate GaragePLAN NUMBER
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
JOB ADDRESS
LOT
. 17 t A t
BLOCK SUBDIVISION
OWNER PHONE
3 L. .At L C -r L. oLil 4ec "
ADDRESS
LEGAL DESCRIPTION — SEE ATTACHED
PARCEL NUMBER /S E..I,✓. OF t�C
�, ,., te ch
4 (_I _ l'7 c: c R lipi TG �jf2 fv G2�
CONTRACTOR
4. �i to
ADDRESS
��✓YE
ZI P
Actual Set Backs in Feet
North 7E, r South
East West i
DESIGNER
5. ADDRESS
CHANGE OF USE FROM
6.
TO
PHONE
ZIP
PHONE
ZIP
TYPE
7. OF
WORK
32/ NEW ❑ ALT.
CJYBLD. ❑ PLMB.
❑ AD'N.
❑ MECH.
❑ RPL. Lu1 MVE.
❑ M.H. ❑ POOL
Size of Parcel
CtO t
Type Const. Occupancy
m�
Zone Classification
Aeli iGLAL- n.A.Q.. ;L..
Sprinklered
❑Yes ❑No ❑ Req'd.
Valuation
Main Floor
Building Area in Sq. Ft.
c
Upper Floors
Area of Decks
O'
■ •TH
DESCRIBE WORK
VALUATION
9.
SOURCE
OF
UTILITIES
GAS
ELECTRIC
C:z.c�ic
WAT
I hereby certify that I have read and examined this applic
on reverse side, and know the same to be true and correct.
type of work will be complied with whether specified herein
to give authority to violate or cancel the provisions of any othe
performance of construction. SEE REVERSE SIDE FOR REQUIR
SE ER
. Baths
Garage Area
Finished Basement
No. Stories
No. Rooms
Storage
Unfin. Basement
No. of Dwellings
CERTIFICATE
of EXEMPTION
Req'd. Rec'd.
N ot q'd.
Enum. Dist. I Location (Area)
Ownership �// USE CODE
Public El Private LrJ
e re the "NOTICE" provisions included
of laws and ordinances governing this
The granting of a permit does not presume
r local law regulating construction or the
PECTIONS
DATE OF APPLICATION��
SPECIAL APPROVALS
NAME DATE
Env, bfealth
anning
Fire Marshall
Co E n er
Utilities
//P/I��/������//ns miner
`yEP7M.h list
Building chnician
69,
SPECIAL ONDIT ONS: v,�La ��4 "+ r t Lk c 172CAANDocf 0"sr
ON] e X.. CJt.
/VW r 2c:.rvl a i" 7 31S Qai,NL-
pr
no
t
t.
ate
NATURE OF APPLICAN
PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
FEES COLLECTED
Single $
Building
Plumbing
v
VVlech.
Plan Check
SEPA
Mobile Home
Other (Specify) "''
TOTAL $
PERMIT NUMBE;"
b3- ,' -00-
02* *7000
*70.00
*70,006
A *000
0.612
12' -30 -81
2 6479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
0'1- 84' -8.2
DATE ISSUED
5z *70,'0'02,0: -
PERMIT NO. TOTAL
13G`
7 �