1982, 08-10 Permit: 82A-6987 GaragePLAN 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
2 t tO
LOT
BLOCK
SUBDIVISION
(Ai ft, 8€4 th RANt+tk
OWNER
ivkAe..i r nr M AC -‘4
PHONE
LEGAL DESCRIPTION - SEE ATTACHED
PARCEL NUMBER/S
i Ct541-b4t57
ADDRESS
E. \"),-Lti� \Ji%C 1t�i l
ZI P
Actual Set Backs in Feet
North !South
East
CONTRACTOR
4 Ni 4tUs✓r�L
• ADDRESS
E • 403 CS2 :AFC'
0.QT2i C....0 aj4651 I
PHONE
Size of Parcel
fYIL S',4t5
DESIGNER
5. ADDRESS
CHANGE OF USE FROM
6.
TYPE
7. OF
WORK
OlJ NEW ❑ ALT.
IJ BLD. 0 PLMB.
ZIP
416(207f4 12..iirt
PHONE
ZIP
TO
AD'N.
❑ MECH.
❑ RPL.
O M.H.
❑ MVE.
❑ POOL
❑ OTHER
Type Const. Occupancy
V )uation
-R40.5(=,
Main' Floor
Upper Floors
..61511.11.0
Area of Decks
No. Baths
West 14'
ZonAeeC'lassification
Sprinklered
Dyes DNo ❑ Req'd.
Building Area in Sq. Ft.
Cs, le;
Garage Area
Storage
Finished Basement
No. Stories
CERTIFICATE
of EXEMPTION
Unfin. Basement
No. Rooms
Req'd.
DESCRIBE WORK
8. fklitl c -i 0 6
VALUATION
SOURCE
OF
UTILITIES
C 9-49X7-6,)
GAS
ELECTRIC
WATER
Enum. Dist. !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
OF APPLICATION ! 4.:16 SIGNATURE OF APPLICANT
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE
Env ealth
lannine ) SO
Fire Marshall
Co. Engineer
Utilities
P E. miner
` r
!P,I/,
Ist
Bg Technician
u 34Ec-T To d'/l• .rc
PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
FEES COLLECTED
Single $
Building `
Plumbing )
Mech.
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL $ CSI
PE R M I T.---A}{BG.R
P,2a -C>teri
02* *61.00
*61.006
A *000 3
698.68
08-1082
g 6,479
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
0'8 9
DATE ISSUED
awl
698, 7z
PERMIT NO.
*61002g —
TOTAL
1