1982, 08-10 Permit: 82A-6993 Garagearra -mini am/ rcrsmu 1
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 4563675
APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3 COPIES
JOB ADDRESS
1. �. er--i CA-Tw.Ln '
LEGAL DESCRIPTION -SEE ATTACHED
LOT
2.
BLOCK
SUBDIVISION
OWNER
3. A mos Tu7.1E�
ADDRESS
PHONE
Malo 44S cf
PARCEL NUMBER/S4(ATc IN50N AOO.
C.XC.• C. Go' LOT$ 'tL4Ci1
%.1:53-41-
C.
g:5s4t-
G. 852.-i CA-: AL Do
ZIP
GiGt)4r0a.
Actual Set Backs in Feet
North (South ‘O2_ (East
• 'West
4.
5.
CONTRACTOR
‘,1611.A6 4 Solis
PHONE
44-g a.
Size of Parcel
(04`c 3tl
Zone Classification
ADDRESS
t -13OX Loa
DESIGNER
PHONE
Type Const.
.3rN
V uation
(0c oeSe
Occupancy
Sprin klered
Dyes DNo D Req'd.
Building Area in Sq. Ft.
\oo8
ADDRESS
ZIP
Main Floor
Upper Floors 1 Garage Area
009
Storage
CHANGE OF USE FROM
6.
TO
Area of Decks
Finished Basement
Unfin. Basement
TYPE
7. OF
WORK
g11EW D ALT.
815 BLD. 0 PLMB.
D AD N,
D MECH.
D RPL.
❑ M.H.
❑ MVE.
D POOL
0 OTHER
No. Baths
No, Stories
1.
No. Rooms
No. of Dwellings
t
CERTIFICATE
of EXEMPTION
Req'd.
Re 'd.
Not Raq'd.
DESCRIBE WORK
8.re-c-AcaEp 6FiRAGfc WISt.-AD 24X4")•
Enum. Dist.
Location (Area)
VALUATION
9.
SOURCE GAS
OF
UTILITIES
ELECTRIC
WATER
SEWER
StC
Ownership sti USE CODE
Public 0 Private
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 la —regulating construction or the
performance of construction. SEE REVERSE SIDE FOR REQUIRED INSPECT
DATE OF APPLICATION 8 /0 / a —SIGNATURE OF APPLICAN
En
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE
anning
Fire Marshall
Co. Engineer
Utilities
Plans Ex -miner
//
41
lar
Ii�
�d
t//
echnician
44 �
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 $ -75
02+x_ *7500
*7500,5
A *000 3
'699.22-
'08=10•-82
2 6479
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
O;IB j.6,�,�,' 4
DATE ISSUED PERMIT NO. TOTAL
[II r nnnv
esig/oett.
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