1982, 06-11 Permit App: 82A-4873 GaragePLAN NUMBER
1
APPLICATION /PERMIT
SPOKANE COUNTY — BU LOIN 3 CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456 -3675
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
2.
3.
JOB ADDRESS
E 1'1 li*1t 1t/
LOT BLOCK SUBDIVISION
OWNER So c4 5
ADD SS 54"1"` kj
. air. A
P ON
661-1
CO — TOR
5 /" � >1 ✓ yY1 4. bA D ESQ IR GNE5 R
5.
LEGAL DESCRIPTION — SEE ATTACHED
PARCEL NUMBER/ S1 O 75.3
�c1 Or- 15` 15 15A6c :
Actual Set B cks in Feet
North `/ 'South 1East C IWest3 Zo
Size of Parce
250
ADDRESS
CHANGE OF USE FROM
6.
TYPE
7. OF
WORK
DESCRIBE WORK
8.
l
BLD.
PHONE
ZIP
TO
❑ ALT. El AD'N. ❑ RPL. ❑ MVE.
❑ PLMB. ❑ MECH. ❑ M.H. ❑ POOL
VALUATICIN
9.
SOURCE
OF
UTILITIES
-0-07<,
.c
GAS
ELECTRIC
❑ OTHER
Typapst. 1ctpancy
Valuation
G C7 GP
Main Floor I Upper Floors
Zoassific tion
Sprinklered
❑Yes ❑No ❑ Req'd.
Building Area in Sq. Ft.
2v
Garage Area
Storage
Area of Decks
No. Baths
Finished Basement
Unfin. Basement
No. Stories
No. Rooms
No. of Dwellings
CERTIFICATE
of EXEMPTION
Req'd.
WATER
SEWER
Enum. Dist.
Location (Area)
Ownership
Public ❑ Private
SE 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
r' iormance of construction. SEE REVERSE SIDE FOR REQUIRED INSPECjIONS
1
DATE OF APPLICATION
SIGNATURE OF APPLICANT
SPECIAL APPROVALS
NAME DATE
Env. Health
Planning
Fire Marshall
Co. n in er
K .In-
Utilities
Plan Examiner
KR la^
PA heckl st
SE
Techni ian
SPECIAL CONDITIONS:
PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
Rec'd.
Not Rfq'd.
FEES COLLECTED
Single $
Building
Plumbing
Mech.
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL
PFFJ MIT NUMBER
U
7
02** *5400
*5400
*54 00,5
A *0,00
487.22
06-11-82
2 6.4"7 9,
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
0P6:"10-�'�P ' i , .2' 4 8 7.3 z
DATE ISSUED PERMIT NO.
*'54.00ap!
TOT A L.