1982, 11-22 Permit: 82B-1289 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 BLOCK
OWNER
3. a 01/4412>a A L ' L via_,P-a `C) . -i0 t- w■)Sc,sv
A.v 1AL-0 1,1
SUBDIVISION
)4‘Cx..41'U l✓Liry L3 Leut3 411.4
ADDRESS
=3itq
A\MLort;
4' ADDRESS
CONTRACTOR
DESIGNER
ADDRESS
CHANGE OF USE FROM
6.
TYPE
7. OF
WORK
LJ NEW ❑ ALT.
IBLD. ❑ PLMB.
PHONE
(12c n
ZIP
PHONE
ZIP
PHONE
ZIP
TO
❑ AD'N.
❑ MECH.
❑ RPL.
❑ M.H.
❑ MVE.
❑ POOL
❑ OTHER
LEGAL DESCRIPTION - SEE ATTACHED
PARCEL NUMBER /S
7'54, s i t t�
Actual Set Backs in Feet
North South $.
Size of Parcel
a
East West
Type Const. Occupancy
-1
Val,ation
Main Floor I Upper Floors
Area of Decks Finished
Zone Classification
ACS. ��Lli✓�(v
Sprinklered
❑Yes ❑No ❑ Req'd.
Building Area in Sq. Ft.
Garage Area I Storage
t574,„
Basement Unfin. Basement
No. Baths
No. Stories
No. Rooms
No. of Dwellings
CERTIFICATE
of EXEMPTION
Req'd. Rec'd.
DESCRIBE WORK
VALUATION
9.
GLACLACIC
SOURCE GAS LECTRIC
OF
UTILITIES
C Z4 X-24)
WATER
SEWER
tc
Enum. Dist. I Location (Area)
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 • _ 0 2---- SIGNATURE OF APPLICANT
SPECIAL APPROVALS
NAME DATE
n
lanning
s 1 5- ,
Fire Marshall
'X
`. ` Co. Engineer
Utifis�-"
Plans Examiner
NcZ ' ' o
SEPA Checklist
Building Technician
SPECIAL CONDITIONS:
cA , (S j-e'( —c - f , w L
a (Q ss r 2 0.E- —As"w�
PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
Not Reo'd.
FEES COLLECTED
Single
Building
Plumbing
Mech.
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL
PERMIT NUMBBR
SZ6
02* *5400
1 2'8 8
11.1-22-;-82
6 %'C,
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
111' =22 -82
DATE ISSUED
12 8.`9z *5400x+
PERMIT NO.
TOTAL