1982, 09-20 Permit: 82A-8453 Garage AdditionPLAN 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
2.
JOBDDRESS
tt. 91&
LOT
B1104
3.
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OWN I/4 A —i Al N aR *f
ADDRESS
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4.
COW
ADDRESS
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PHONE
LEGAL DESCRIPTION - SEE ATTACHED
PARCEL Ni 541
NUMBER/9 ►s , '514_
Actual Set Backs in Feet
North 'South 3 {East (West 2 r5
ZIP
Size of Parcel
5c > + cv
F
Tvge4onst.
Zone Classification
pinkcti
lered
❑Yes ❑No 0 Req'd.
5.
DESIGNER
PHONE
Valuation
Buildi r in Sq. Ft.
ADDRESS
ZIP
Main Floor I Upper Floors
Gas7 1 U
Storage
CHANGE OF USE FROM
6.
TO
Area of Decks
Finished Basement
Unfin. Basement
TYPE
7. OF
WORK
❑ W 0 ALT. WZD'N. 0 RPL. 0 MVE.
D. ❑ PLMB. ❑ MECH. ❑ M.H. 0 POOL
0 OTHER
No. Baths
No. Stories ooms
CERTIFICATE
of EXEMPTION
No. R
Req'd.
DESCRIBE WORK
8. C:51�' ,
60 L k ,Q1 V
Enum. Dist.
Location (Area)
VALUATION
9.
SOURCE
OF
UTILITIES
GAS
ELECTRIC
WATER
SEWER
Ownership
Public ❑ Private
E 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
SPECIAL APPROVALS
NAME DATE
Env • -alth
-- '
Adia
-tee
S../ •
IL •
-ire Marshail
Co.l€
1
1 K
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Utilitiesl�
Plans finer
-
SEP Checklist
u echnlciar
SIGNATURE OF APPLICANT
SPECIALONDITIONS:
I f\I A-prd. r6c.010, 56-pwr__5
�"`1�+. r.1y zt(J144.9 I t I-�-
ip ommoviki
z./i,e1,„,,,,(472,,t,i4,.1€_,
PERMIT IS NONTRANSFERABLE
No. of Dwellings
Rec'd.
Not Req'd.
FEES COLLECTED
Single $
Building '1
Plumbing
Mech.
Plan Check -
SEPA
Mobile Home
Other (Specify)
TOTAL $ r
PERMIT NUML3R
02* *5400
*54006
*000
8452
09-20-82
z 6474
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
09,.: 0 8 2
845:35
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL
12-0t Arry-