1982, 10-22 Permit: 82A-9954 Move 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
1.
2.
3
4.
JOB ADDRESS
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LOT BL CK
OWNER
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SUBDIVISION
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ADDRESS / _r �
CON RACTOR -Bpi. 1 T)
�itvt�
ADDRESS
LEGAL DESCRIPTION — SEE ATTACHED
PARCEL NUMBER/S ,�� - 03ori
PHONE
q(0(4)-01144
ZIP
PHONE
Actual Set�^Backs in Feet
North (Q.7 'South Ljc East 5 -
'West 1 CP
Size of Parcel Zone Cition
ZIP
Type Const.
Occupancy
t
3prinklered
❑Yes ❑No 0 Req'd.
5.
DESIGNER
ADDRESS
PHONE
Valuation
Building Area in Sq. Ft.
ZIP
Main Floor
Upper Floors
Garage Area
Storage
CHANGE OF USE FROM
6.
TO
Area of Decks
Finished Basement
Unfin. Basement
TYPE
7. OF
WORK
❑ ALT. 0 AD'N.
❑ PLMB. 0 MECH.
O RPL. FSMVE.
O M.H. 0 POOL
0 OTHER
No. Baths
No. Stories
No. Rooms
No. of Dwellings
CERTIFICATE
of EXEMPTION
Req'd.
Rec'd.
Not Regal.
DESCRIBE WORK
8. MOVE, Or r� 2
2Otis
OF
9. UTILITIES
VALUATION SOURC
GA
Enum. Dist. l Location (Area)
II
ELEC RIC
WATER
SEWER
Ownership
Public 0 Private
E CODE
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 INSPECTION$ ) n c
/7/
DATE OF APPLICATIO
SPECIAL APPROVALS
NAME DATE
alth
P anning
Fire Marshall
Co. Engineer
Utilities
Plans Examiner
SEPA Checklist
Building
n
i�✓ SIGNATURE OF AP
SPECIAL CONDITIONS:
•
PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
FEES COLLECTED
Single $
Building "'p--
Plumbing
4 eche
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL $
3o
PERMIT NUMBER
('?;2— A 9954
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
10-22.-82 99545 *3.0.0021-2 -
DATE ISSUED
PERMIT NO. TOTAL
FII F r.nPY
2
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