1982, 05-28 Permit: 82A-4324 GaragePLAN N'.,'MBER
APPLICATICR %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
1z
LOT BLOCK SUBDIVISION
LEGAL DESCRIPTION - SEE ATTACHED
it1 5 •HONE
3. OWNER
9 r72-5
ADDRESS
CON
ADDRESS
4.
2
PARCEL NUMBER /S 2_, a 4,1._ 02-1 1
Actual Set Backs in Feet
North 'South 3 East ,:'
West
DESIGNER
PHONE
ZIP
ADDRESS
CHANGE OF USE FROM
6.
TYPE
7, OF
WORK
PHONE
ZIP
TO
IiW ❑ ALT. ❑ AD'N.
D. ❑ PLMB. ❑ MECH.
❑ RPL.
❑ M.H.
❑ MVE.
❑ POOL
❑ OTHER
Size 9f Parcel
Type C nst. Occupancy
IA
Zo e Classification
Sprinklered
❑Yes ❑No ❑ Req'd.
Valuate —
Building Area in Sq. Ft.
Ca
Main Floo
Upper Floors
Area of Decks
Gir/alge Area
Finished Basement
Storage
Unfin. Basement
No. Baths
No. Stories
No. Rooms
No. of Dwellings
CERTIFICATE
of EXEMPTION
Req'd.
9.
DESIRE W RK
�
VALUATION SOURCE
OF
UTILITIES
Cl
GAS
• a—x 44)
ELECTRIC WATER SEWER
Enum. Dist. I Location (Area)
Ownership
Public ❑ Private ❑
USE CODE
1 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 INSPECTION
DATE OF APPLICATION J SIGNATURE OF APPLICANT(
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE
Env. Health
Planning
Fire Marshall
Coon ineer�I�
Utilities
PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
Rec'd.
Not Req'd.
FEES COLLECTED
Single %$
Building
Plumbing
Mech.
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL $6
PERM T .4UMbER
43z —
02* *61,00
*61,00 tr-
43232
05.28 -82
2 6479
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
{
015 L'4t.
DATE ISSUED
43242 *6LOOa�
PERMIT NO. TO
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