1982, 06-22 Permit: 82A-5199 GaragesPLAN 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.
4. 14-2
JOB ADDRESS
4, ,rr r7R \I
SUBDIVISION
LOT
'"
BLOCK
LEGAL DESCRIPTION - SEE ATTACHED
Mie ry\-KK iNsoolioN
PHONE
9
OWNER
H�
ADDORESS
X620' FIN
4. r L� , R
ARES s 60
P
PHONE
PARCEL NUMBER/S z „1,5g
7®'S
Actual Set Backs in Feet 1
North 2., !South
Size of Parcel
� y 4i
Ty Oo�ist-
East 140 IIWest 2-
Zone C ssification
► -hvit
0 p,ancy
Sprinklered
❑Yes MNo ❑ Req'd.
DE$IGN�
5. A� RESS I, 1,11\1(5,6,,
CHANGE OF USE FROM
PHONE
Valuation
Building Area in Sq. Ft.
1elf
6.
Main oor
Upper Floors
rageerrea
Storage
TO
Area of Decks
Finished Basement
Unfin. Basement
TYPE
7. OF
WORK
a N W ❑ ALT. ❑ a/BLD. ❑ PLMB. ❑ MECH.
❑ RPL.
❑ M.H.
❑ MVE.
❑ POOL
❑ OTHER
No. Baths
N/o�., Stories
No. Rooms
No. of Dwellings
CERTIFICATE
of EXEMPTION
Req'd.
Rec'd.
Not Req'd.
DESCRIBE W RK
8.
VALUATION
9.
SOURCE
OF
UTILITIES
GAS
ELE TRIC
44,11OpkNefi aikA'r
SEWE
WATE R
Enum. Dist.
Location (Area)
Ownership —/
Public ❑ Private Imo"
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 art' SIGNATURE OF APPLICANC:��
SPECIAL APPROVALS
NAME DATE
Fire Marshall
o. E gine
Il or
Util ties
Plans ne
ing Tech
SPECIAL CONDITIONS:
F og T- L.oc r - D I �) ri.00t) -z-e,J
P(M'1 Ie - Ts
PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
FEES COLLECTED
Single $
Building
Plumbing
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL $
PERMIT NUMBER
02* *61,00
*61,006
A *0.00
519,82
06-22-82
2 6479,
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
0'6,-2,2-8 2,
DATE ISSUED
5"1992
*61.0091-1
PERMIT NO. TOTAL