1982, 03-05 Permit: 82A-1501 GarageAPPLICATIUN/ PLKMIT
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 ADDRES
1. I 2-o 174GKItJ4c*J igor1/412
LEGAL DESCRIPTION - SEE ATTACHED
LOT
2. 4'
3.
BLO K
SUED VISION
c� 1�215 PK -
PARCEL NUMBER/S 19 1441 I 2-
OWNER i
cir
ADDRESS
7_1c�o
1/ICf IIV sok' Kci\--0
PJHHO�N/E
Z)p
er
Actual (S�yt Backs in Feet
North ! South
East 'West
4.
CONTRAC OR
•
ADDRESS
PHONE
Size of Parcel
t2CLEG. w�
Zokne Classification
riGR Cua1/4,vz,04-
ZIP
Type,Cons .
O ccyp( n cy
Sprinklered
Oyes DNo 0 Req'd.
DESIGNER
5' ADDRESS
PHONE
Valuation
Buildin Area /iin Sq. Ft.
12-7 rca
ZIP
Main Floo
Upper Floors
G} /
Garage Area
Storage
,CHANGE OF USE FROM
6.
TO
Area of Decks
Finished Basement
Unfin. Basement
TYPE
7. OF
WORK
8.
KNEW 0 ALT. 0 AO N. 0 RPL. 0 MVE.
1/L BLD. 0 PLMB. 0 MECH. 0 M.H. 0 POOL
DESCRIBE WORK
VALUATION
9.SC—
SOURCE
OF
UTILITIES
GAS
ELECTRIC
WATER
0 OTHER
SEW_ ER
No. Baths
No. Stories
No. Rooms
No. of Dwellings
CERTIFICATE
of EXEMPTION
Enum. Dist. I Location (Area)
Ownership USE CODE
Public 0 Private 17
Req'd.
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 - v g- 4J ( SIGNATURE OF APPLICAN(f/✓/' a4t1
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE
alth
tee
Planning
Fire Marshall
0 t., • ATTU, cid 4 ft , v l qJ of
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PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
Rec'rl.
Not 4 d.
FEES COLLECTED
Single $
Building
Plumbing
Mech.
Plan Check
SEPA
Mobile Home
Othrp (Specify)
L A'1
TOTALC,
$ `0
rtHMll NUIVIBtK
8?.A -iSol
02* *44.00
*44.006
A *0.00
1 41.08
03-02-82
6479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
Y;Q,5
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.
DATE ISSUED
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