HomeMy WebLinkAbout1982, 06-21 Permit: 82A-5130 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
JOB ADDRESS
W. '3.110 Ela,Tcnj
LOT
2. 3,
OWNER
3. ‘1Ez-tv-1 k4.14auc
ADDRESS
N •.Z1 L EIZtr oDU
CONTRACTOR
-12)242%
4. ADDRESS
L46s)..
BLOCK
LEGAL DESCRIPTION — SEE ATTACHED
SUBDIVISION
WEST Vit4LLE`1 S Cs t?
PHONE
PARCEL NUMBER/S
®-75�i•3 -c2
ZIP
as
Actual Set 'packs in Feet
North 6 (South
East Cpt 'West
e&«(_. -fa
PHONE
Gi.22,-2-1116
Size of Parcel
"74. rc 14-o
Zone Classification
A.
ZIP
QCt2C�
Type. Const.
Occupancy
Sprinklered
❑Yes. ❑No 0 Req'd.
DESIGNER
5.
PHONE
Validation
V'2 4-
Building Area in Sq. Ft.
57c;
ADDRESS
ZIP
Main Floor
Upper Floors 1 Garage Area
S7c
Storage
CHANGE OF USE FROM
6.
TYPE A
7. ' OF
WORK
TO
Area of Decks
r—�
Finished Basement
Unfin. Basement
Ll fjlEW
airl3LD.
❑ ALT.
❑ PLMB.
❑ AD N.
❑ MECH.
❑ RPL.
❑ M.H.
DESCRIBE WORK
833)a -C--s p 6;4042.Pei,a
❑ MVE.
❑ POOL
(13.44(24)
0 OTHER
No. Baths
No. Stories
No. Rooms
1
No. of Dwellings
CERTIFICATE
of EXEMPTION
Req'd.
Rec'd.
Not Req'd.
Enum. Dist. '
Location (Area)
VALUATION
9.
SOU RCE
OF
UTILITIES
GAS
ELECTRIC
WATER
SEWER
Ownership ,_,,/
Public 0 Private LY'
USE 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 construct. SEE REVERSE SIDE FOR REQUIRED INSPECTiO S
'DATE OF APPLICATIO
SPECIAL APPROVALS
NAME DATE
Env Health •
\%elv (s'al=got'
Plan ing
Fire Marshall
Co. Engineer
Utilities
Plans Examiner
SEPA Checklist
Building Technician
lf9ct -9c1*
SIGNATURE OF APPLICANT
SPECIAL CONDITIONS:
PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
FEES COLLECTED
Single $
Building *41.0a
Plumbing
Mech.
Plan Check
SEPA •
Mobile Home
Other (Specify)
TOTAL
$ 47-ae,
PERMIT NCWER "
02* *.47.00
5128`@
p(iz'2i1 -82
6479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
A 9
t (I' ':8''12;
DATE ISSUED
PERMIT NO.
TOTAL