1982, 09-15 Permit: 82A-8218 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
C 7 i
LOT
BLOCK SUBDIVISION 1
I\1
OWNER
3
ADDRESS7�
i
PHONE
LEGAL DESCRIPTION - SEE ATTACHED
PARCEL NUMBER/S
; r5 -f
4.
CONT AC OR
ADDRESS
DESIGNER
ADDRESS
CHANGE OF USE FROM
6.
TO
P
HONE
ZIP
PHONE
ZIP
Actual Set Backs in Feet
North (South East (West. CJ
Zone Classification
p �/ L
Size of Parcel
177 7
Tyne Fopst.
Occu panty
rinkler d
Oyes ❑No ❑ Req'd.
Valuation
c
Buildio Area in Sq. Ft.
Main loor
Upper Floors Ga(�geArea
5(/--17,
Storage
TYPE
7. OF
WORK
❑ NEW ❑ ALT. Q'AD'N. ❑ RPL. ❑ MVE.
/BLD. ❑ PLMB. 0 MECH. 0 M.H. 0 POOL
❑ OTHER
Area of Decks
No. Baths
DESCRIBE WORK
VALUATION
9.
SOURCE
OF
UTILITIES
.10OrrioL
GAS
ELECTRIC
WATER
Finished Basement
Unfin. Basement
No. Stories
No. Rooms
No. of Dwellings
CERTIFICATE
of EXEMPTION
Enum. Dist. I
SEWER
Req'd.
Location (Area)
Ownership USE CODE
Public ❑ Private
I hereby certify that 1 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 ,_ SIGNATURE OF APPLICANT
SPECIAL APPROVALS
NAME DATE
Env. He
Health
Planning
Fire Marshall
9//,'
Co. Engineer
Io -
Utilities
SPECIAL CONDITIONS:
PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
Rec'd.
Not Req'd.
FEES COLLECTED
Single $ ,r—',
Building l4_
Plumbing
Mech.
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL $
PERMIT N Jt BER
v1b
02* *5400
*54006
A *000
818.42
09-1382
2 6,479
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
DATE ISSUED
ij a
Li
PERMIT NO. TOTAL
1; (I�>
olteacie
tADvcT.�ti
8
7 0
30'
123-`1 �'
•
cg(ht /8 7--