1982, 12-01 Permit: 82B-1588 GaragePLAN NUMBER
APPLICATION/PERMIT
SPOKANE COUNTY — DEPARTMENT OF BUILDING & SAFETY
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
1.
STREET ADDRESS
-704- �C a svS% c
PARCEL NO.
1e,5441-- - C3 ;
LOT
2. 5
BLOCK
SUBDIVISION
AVD tC>N
OWNER
3. L..CL,NA2 P
MAILING ADDRESS
N :104- t E
PHONE
PHONE bb��
LEGAL DESCRIPTION: 5 i t O �T 5
ZIP
Rel?_G
Actual Set Backs in Feet to:
Nath !South
CONTRACTOR
4. ,AG�F'tC�
ADDRESS
t Ne.ifatOZ
LICENSE EXPIRES
PHONE
Size of Parcel
sxI2.-
11 Zone Classification
Ac .c..',..&_5
East .3' I West
Residential [7
Commercial LI
a TATuc, ry
ZIP
a4Z-i
TTgaConst.
Occupancy
'AN -1
Sprinklered
Oyes No ❑Req'd.
5.
DESIGNER
ADDRESS
CHANGE OF USE FROM
6.
TYPE C,J)4 EW
7. OF BLD.
WORK
DESCRIBE WORK
VALUATION
9.
PHONE
ZIP
TO
❑ ALT. ❑ AD' N. ❑ RPL.
❑ PLMB. ❑ MECH. ❑ M.H.
AQ. ►VGE
SOURCE GAS ELECTRIC
UTILITIES
❑ MVE.
❑ POOL
❑ OTHER
WATER
PUBLIC ❑
PRIVATE 0
ISEWAGE/
SEPTIC E�
SEWER ❑
bawConst. Valuation
Main loor
Remodeled Valuation
Upper Floors
Garage/Storage
Total Bldg. Floor Area
574
Greenhouse
Cover Deck
Uncv. Deck
Fin. Basement
Unfin. Basement
No. Baths
No. Floors
No. Fin. Rooms
Certifi. of Exempt.
or Variance
Shorelines/Flood Hazard
Yes O Not Aeolic. C
Ownership
Public 0, Private tie
Required
Received
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 au-
thority 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
SIGNATURE OF
OWNER OR AGENT'
glaY
APPLICATION
DATE
SPECIAL APPROVALS
PRELIM. FINAL DATE
Env. Health
k 1
Planning
Fire
Prevent.
Engineer
UtiIities
SEPA
Plans
Exam.
Building
Tech.
WA
SPECIAL CONDITIO : (SEE REVERSE SIDE FOR NOTICE)
Ex15r'rJG Ae''? ope,'4
1 c.) Crec s o oa `ao---
ttut !-12E WALL- PERMIT IS NONTRANSFERABLE
D ON rjOt tt&
ptl — PERMIT IS NULL AND VOID IF WORK HAS NOT COMMENCED
IN 180 DAYS
Yes❑ NoRc
YesD Nor(
No. Dwellings
Number
Plans Required 0 CAN e'
Received
FEES COLLECTED
Building
Plumbing
Mech.
Plan Check
SEPA
Modular/
MFG. Home
Other (Specify)
TOTAL $
PERMIT NL -.,`.:BER
Z -B — .158
02* *54.00
*54.006
A *0.00 0
158,7-2
12—C2-82
6[179.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
DATE EDU 2 - 8 2
PERMIT,!&. 8. 8 9 *5 4, 0 0• AL
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