1982, 06-22 Permit: 82A-5203 GaragePLAN NUMBER
2,9 4'6/
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
JOB ADDRESS
. !�— 1. .L) 17ii �l
LOT BLOCK UB IVISION
1619 pti-otd
3 AD�gRESS
N ,2. 0 p'I
RACTOR
[,O421oob
AD RESS I
DESIGNERA /
i.- vJ I/ " i
4.
CON
6.
D ESS
NN,
Z?6i0 p1t\I
CHANGE OF USE FROM
PHONE r "
2 75o
IP
20
LEGAL DESCRIPTION - SEE ATTACHED
PARCEL NUMBER/S
Actual Set Backs in Feet 1
North 6Sl South ...9
East ,�j West
PHO E
Size of Parcel
zissm,14—
iI 1613
Tyge/CDnst. Apr
Zone Classification
� tiff
Sprinklered
❑Yes AINo ❑ Req'd.
VeE-18.60
co
Val tion
Building Area i SFt.
TO
TYPE M NEW ❑ ALT. ❑ AD'N. ❑ RPL.
7. OF s �
WORK I(LD. ❑ PLMB. ❑ MECH. 0 M.H.
❑ MVE.
0 POOL
0 OTHER
Main Floor
Upper Floors Ga age P4ea
Storage
Area of Decks
Finished Basement 1 Unfin. Basement
No. Baths
No. Stories
No.�Rooms
TWO
O
No. of Dwellings
CERTIFICATE
of EXEMPTION
Req'd. Rec'd.
DESCRIBE WORK
17
7 t 16-
VALUATIO
9.
SOURCE
OF
UTILITIES
GAS
ELECTRIC
WATER
Enum.
6-
Enum. Dist. I Location (Area)
SEWER
Ownership
Public 0 Private
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 ��,/i
‘17GNATURE OF APPLICANTea01
DATE OF APPLICATION
an
SPECIAL APPROVALS
NAME DATE
ealth
ire Marshall
SPECIAL CONDITIONS:
tOJc i LQ c PTS- I si oo A 2 >
PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
NotF3,e q'
FEES COLLECTED
Single $ +
Building '" 1
Plumbing
.. A4eelf
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL $ C;"1
PERMIT NUMBER
02* *61,00
*61,006
A *000
520,2
06-22-82
6479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
DATE ISSUED
5'20.32 *61002-12 -
PERMIT NO. TOTAL
FII F rfPY