1982, 08-23 Permit: 82A-7366 CarportPLAN 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
1.
2.
3
JOB ADDRESS
, /�0 T
LOT BL CK SUBDIVISION
LEGAL DESCRIPTION - SEE ATTACHED
PARCEL NUMBER'S ••-a4ZL-,
OWNER
E•e�/c2 fC,,ov ,f - /VI
ADDRESS
//0 7 3,47e5 20
PHONE
9.2G- a 07
ZIP
Actual Set Backs in Feet
North (South 5 (East '30
west
4.
5.
CONTRACTOR
/SAA
ADDRESS
9_1-0E, s>
DESIGNER
ADDRESS
�sUG G, //&fi
CHANGE OF USE FROM
6.
TYPE
7. OF
WORK
PHONE
ZIP
Size of Parcel
"ISX1€4o
Occupancy
Type Const.
m—�
Zone Classification
Sprinklered
❑Yes ❑No 0 Req'd.
TO
P ONE
/ 0
zci q c7 5
Vair tion
Building Area in Sq. Ft.
€341 -
Main Floor I Upper Floors
Garage Area Storage
Area of Decks
Finished Basement
Unfin. Basement
0 NEW ❑ ALT. •0. AD'N. 0 RPL. 0 MVE.
❑ BLD. ❑ PLMB. 0 MECH. 0 M.H. 0 POOL
0 OTHER
No. Baths
No. Stories
No. Rooms
No. of Dwellings
DESCRIBE WORK
8. Cid A/ S flit/ c r EA/e.P�✓L 7
VALUATION SOURCE
OF
9. /Z (' o CJ UTILITIES
GAS�/l ELECTRIC
/{ /jK
WATER
SEWER
C -
CERTIFICATE
of EXEMPTION
Enum. Dist.
Ownership
Public 0 Private
R
Location (Area)
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 /6 4 2
SIGNATURE OF APPLICANT 92.. -"--
SPECIAL APPROVALS
NAME DATE
Env. Healtn
Aflf teCE"iT
Planning
e/.2
Fire Marshall
Co. Engineer
Utilities
s rner
SE
E
st
ByiJQinq Tiechnician
5
SPECIAL CONDITIONS:
PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
eq'd. Rec'd. ]NotFd.
V
FEES COLLECTED
Single $
Building 4 2c7•c 7
Plumbing
Mech.
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL
$2.0. 60
PERMIT NUMBL
02* *2000
*2Q008
A *0.00
73658
0823-82
2 6479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
O8 4- ,.-ir8 2.
DATE ISSUED
736162
PERMIT NO.
*20.00a1-2
. TOTAL
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