1982, 07-08 Permit: 82A-5811 CarportPLAN NG7ABER
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. - IP'2c2co Cdr.6
LOT BLOCK SUBDIVISION
2
l/ics I<R. 015-r A -
OWNER a riC-iki LV I * E� 1
AcgtESIbw 500 V
ZI_P_ _ K°
CONT R PHONE
ADDRESS ZIP
DESIGNER
5. ADDRESS
PHONE
ZIP
LEGAL DESCRIPTION - SEE ATTACHED
PARCEL NUMBER'S I%'S 'I — 275O
N = 1401 [ . S. I orLAI .7_361.
or- . 374
Actual SetBacksin Feet
North z— 'South East 1 0 'West
SizeofParcel
,c O
Zo a Classlfi len.
4 C vjpa.
Sprinklered
I
❑Yes DNo 0 Req'd.
Building Area in Sq. Ft.
Garage Area
U
4�
orage
CHANGE OF USE FROM
6.
TO
Area of Decks
Finished Basemen
Untin. Basement
TYPE
7. OF
WORK
❑N W ❑ ALT.
D. ❑ PLMB.
❑ AD N. 0 RPL. 0 MVE.
0 MECH. 0 M.H. 0 POOL
0 OTHER
No. Bath
No. Stories
No. Rooms
No. of Dwellings
CERTIFICATE
of EXEMPTION
Rebid
Rec'd.
Not Rodd.
8.
9.
DESCRIBE WORK
�A✓I�j N C 0 2
�
VALUATIOOURGAS RC ATER SEWER
OF
UTILITIES
Enum. Dist.
Location (Area)
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
DATE OF APPLICATION 7— g
S — 2 SIGNATURE OF APPLICANT ffit• '
SPECIAL APPROVALS
NAME DATE
Env. Heal
Pia
re Marsha
Co. Enginee
Utilities
Plans Examiner
14_91' {er
1SW
SEPA Checkli
SPECIAL CONDITIONS:
g-71 028/4
l Ii�vinua-e,,4o a-/hmt
/��'����,'wK/r" a��Lf cc ✓'L(/ ���i%�a'..�-V V-' 44(iv 'ut_
PERMIT IS NONTRANSFERABLE
2,06.74-2
FEES COLLECTED
Single $
Building
Plumbing
Mech.
Plan Check
SEPA
Mobile Home
Other (Specify)
4-0
TOTAL
PERMIrNCMB
•
024 *40.00
*40006
A *000
581.0
b7.AOSi82
g 6419.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
1. r1.
os'.-siz'
•
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED
5.81•1'12 !Ir.(' aooa�
PERMIT NO. TOTAL
.1