1982, 10-04 Permit: 82A-9000 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
JOB ADDRESS
BLOCK SLVAIDIVISVDN
3.
W
-r-,¢'1 L
HO
LEGAL DESCRIPTION — SEE ATTACHED
PARCEL NUMBER/S
D RESS
Actual Set Backs in Feet
North • South
East
West
4- ADDRESS
CONTRARt
DESIGNER
ADDRESS
CHANGE OF USE FROM
6.
TYPE
7. OF
WORK
PHONE
ZIP
PHONE
ZIP
TO
A
❑ N W ❑ ALT. D'N. ❑ RPL. 1=1 MVE.
BL'CJD. ❑ PLMB. ❑ MECH. ❑ M.H. ❑ POOL
DESCRIBE W R
1 4
Size f arc
-2
Type; gnst. I Occupancy
Zo CI n
ssificatio
Kiel E
L.4 rpt
Valuation
Sprinklered
❑Yes ❑No ❑ Req'd.
Building Area in Sq. Ft.
Main Floor I Upper Floors Garage Area
I.C I,C1
Area of Decks Finished Basement
No. Baths
No. Stories
❑ OTHER
VALUATION
9.
SOURCE
OF
UTILITIES
GAS
ELECTRIC
�1X •;t
WATER
SEWER
CERTIFICATE
of EXEMPTION
Enum. Dist.
Location (Area)
Storage
Unfin. Basement
No. Rooms No. of Dwellings
Req'd. Rec'd.
Ownership SE CODE
Public D Private
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 INSPECTIO S
DATE OF APPLICATION / (� t' 9 - SIGNATURE OF APPLICANT
SPECIAL APPROVALS
NAME DATE
En ealth
lanning
/g(
Fire Marshall
Co. Engineer
Utili /.rrr
ans Exa
SEP Checklist
SPECIAL CONDITIONS:
PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
Not 9.
FEES COLLECTED
Single $
Building
Plumbing
Mech.
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL $ s� 1
PERMIT NUMP.ER
, Y-5000
02* *7500
*75006
A *C00
899.92
,10.04-82
z 6479
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
10y-04- 82'
DATE ISSUED
1
9.0 0.02
PERMIT NO.
*75,0020
TOTAL
1-1-11c1J.
.
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