1982, 07-12 Permit: 82A-5908 GarageAPPLICATION/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.
JOB ADDRESS
t• t 1 eti 3 s",1\s-r
LEGAL DESCRIPTION - SEE ATTACHED
LOT
(a
BLOCK
t
SUBDIVISION
IN)vw�r>`�
OWNER
(jy2 iNCNC",N
ADDRESS
176C:=9‹, L AGO
CONTRACTOR
PkW►E
PHONE
4(da-Ot �4-
ZIP
PHONE
PARCEL NUMBER/S
113551-- 0306.
Actual Set Backs in Feet
North 'South 6.G
East a 'West
Size of Parcel
eiC-1( ►�- T "�
Zone Classification
ADDRESS
Are
DESIGNER
5. ADDRESS
ZI P
PHONE
ZIP
Type Const.
Occupancy
to -i
Sprinklered
❑Yes ❑No ❑ Req'd.
V uation
Tr t�tt2_O
Building Area in Sq. Ft.
Main Floor
Upper Floors
Garage Area
4
Storage
CHANGE OF USE FROM
6.
TO
Area of Decks
Finished Basement
Unfin. Basement
TYPE
7. OF
WORK
L7 NEW ❑ ALT.
BLD.
0 PLMB.
❑ AD'N.
O MECH.
O RPL.
❑ M.H.
O MVE.
❑ POOL
0 OTHER
No. Baths
No. Stories
No. Rooms
No. of Dwellings
CERTIFICATE
of EXEMPTION
Req'd.
Recd.
Not Req'd.
DESCRIBE WORK
8._ i ice-- o 6 C re c -,'E
VALUATION
9.
SOURCE
OF
UTILITIES
GAS
0St...Ara
ELECTRIC
WATER
SEWER
Enum. Dist.
Ownership �.,/
Public ❑ Private LT
Location (Area)
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
li
ATE F APPLICATION SIGNATURE OF AP
SPECIAL APPROVALS
NAME DATE
Erlv, Health
Planning
Fire Marshall
Co. Engineer
Ma`( Rec z til
Utilities
Plans Examiner
Oc>7 P-cQ'6Th
SEPA Checklist
B ngam(/Teecchnician
SPECIAL CONDITIONS:
G
PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
FEES COLLECTED
Single $
Building
Plumbing
.Mach.
Plan Check
SEPA
Mobile Home
Other (Specify)
4o .c
TOTAL
$
PERMITOUMBEi.
rjk - 9 Q j
02* *40,00
'*40,00
A *0,00
56522
07$02-82
2 6479
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
01 2
DATE ISSUED
519Q85' *40.0020 -
PERMIT NO. TOTAL
//t--4-0(
7'2V3