1982, 11-10 Permit: 82B-0846 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
C:D b2 3tAtz.i ► 1Z.ca.c3
LEGAL DESCRIPTION - SEE ATTACHED
LOT
BLOCK
SUBDIVISION
�tiv�a-i S
` ST
OWNER
‘.1/4-)YLA-A.S
ADDRESS
5, \ hoz
CONTRACTOR
SA me,
ADDRESS
DESIGNER
5. ADDRESS
PHONE
PARCEL NUMBER/S
Z 3644- 4-4-40(.0
ZIP
GCt07
Actual Set Backs in Feet
North (South i'
Vi East
'West
PHONE
Size of Parcel
ZIP
Type Const. 1 Occupancy
i�-t
Zone Classification
�j i tvE-tl.£ irY�t4.�1
Sprinklered
❑Yes ❑No 0 Req'd.
PHONE
Val ation
"3.3tZ
Building Area in Sq. Ft.
5S2
ZIP
Main Floor
Upper Floors
Garage Area
55Z
Storage
CHANGE OF USE FROM
6.
TO
Area of Decks
Finished Basement
Unfin. Basement
TYPE
7. OF
WORK
M NEW
IJ BLD.
❑ ALT. 0 AD'N. 0 RPL. 0 MVE.
0 OTHER
0 PLMB. 0 MECH. 0 M.H. 0 POOL
No. Baths
No. Stories
No. Rooms
No. of Dwellings
CERTIFICATE
of EXEMPTION
Req'd.
Rec'd.
Not R$q'd.
DESCRIBE WORK
8-TcIAL+;-! O C 01e.A&6 C"Z3x'.4-
OF
9. UTILITIES
VALUATION SOURCE
GAS
ELECTRIC
WATER
Enum. Dist. I Location (Area)
SEWER
ra'cP1`tCr
Ownership �f
Public O Private LTJ
USE CODE
I hereby certify that I have read and examined this application and have read the "NOTICE" provisions included
on reverse side, and know the same to be true and correct. All provisions of laws and ordinances governing this
type of work will be complied with whether specified herein or not. The granting of a permit does not presume
to give authority to violate or cancel the provisions of any other state or local law regulating construction or the
performance of construction. SEE REVERSE SIDE FOR REQUIRED INSPECTIONS
DATE OF APPLICATION
SPECIAL APPROVALS
NAME DATE
Env. Health
01.4- 1.01 zc Ig zPla
Fire Marshall
Co. Engineer
'1vc,•1 £G+ D
Utilities
Plans Ex
aminer
SEPlGf((klist :2P7-6
Ding Technician
V
SIGNATURE OF APPLICANT
SPECIAL CONDITIONS:
13.
•
PERMIT IS NONTRANSFERABLE
��i✓.its �i
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
Fats ry T
FEES COLLECTED
Single
7$
Building 1 ' -54 , Od
Plumbing
Mech.
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL $ 64- 0°
PERMIT NUMBER
Sea -
* F r:
1 1 _C.0 .. 2
4 '7 r
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
l,t /1 0 8;.2
8465 *540028 -
DATE ISSUED PERMIT NO.
TOTAL