1982, 09-07 Permit: 82A-7882 CarportPLAN NUMBER
APPLICATION/ PERMIT PERMIT°NUM R
SPOKANE COUNTY - BUILDING CODES. DEPARTMENT
n / NORTH 811 JEFFERSON / SPOKAfJE, ASHINGTON 99260 / (509) 456-3675
V APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3,COPIES
JOB ADDRESS "
R Z� LEGAL DESCRIPTION - SEE ATTACHED
LOT BLOCK SUBDIVISI0 PARCEL NUMBER/S
2.
OWNERPHONE
3:ooL 51-- Os
02'* *54,00,
ADDRESS
ZIP
Actual Set Backs in Feet
* , IL 0 0 �4
r 11�i7 I. -V"?
GICIZCp<il
P.
North t South East West C.
U
CONTRACTOR
PHONE
Size of Parcel
Zone Classification
A * 0. 0 0 -8
4r✓ GL, —7P=.
53� -
`'�.g 3
�iC 1Z 1.
7 8784
ADDRESS
ZIP
Type Const.
Occupancy
Sprinklered
%.\ GZ(
��
N..1
4
❑Yes ❑No 1:1 Req'd.
09.--07-82
DESIGNER
PHONE
Valuation
Building Area in Sq Ft.
z
65.
3 3�za
g
ADDRESS
ZIP
Main Floor
Upper Floors
Garage Area
Storage
_
CHANGE OF USE FROM
TO
Area of Decks
Finished Basement
Unfin. Basement
6.
_
I
TYPE NEW ❑ ALT. ❑ AWN. ❑ RPL. ❑ MVE.
No. Baths
^�
No. Stories
No. Rooms
No. of Dwellings
`
7 OF ^/ ❑ OTHER
Req'd.
Red.
c 'Not
Fjeq'd.
WORK NJ BLD. ElPLMB. ElMECH. ElM.H. ❑POOL
CERTIFICATE
of EXEMPTION
DESCRIBE WORK
Enum. Dist. Location (Area)
8 (� `, �� C diC \AtG Z O
FEES COLLECTED .
VALUATION
SOURCE
GAS
ELECTRIC
WATER
SEWER
Ownership USE CODE
9.
OF
UTILITIES
t
Public❑Private
Single $'
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
�cE"�
type of work will be complied with whether specified herein or not. The granting of a permit does not presume
Building
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
Plumbing
�2"
DATE OF APPLICATION SIGNATURE OF APPLICANT
Mech.
-SPECIAL APPROVALS
SPECIAL CONDITIONS:. .
NAME DATE
Plan Check
Env. H Ith
r�T�
SEPA
CL.
P anningO
.
-
.. C,')
Fire Marshall
Mobile Home
LLj
Co. Engineer
Other (Specify)
NO -T 2Sn`�D
Utilities
TOTAL $
Plans Examiner
e)N 'FICHE
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist
THIS BECOMES A PERMIT.
uildin echnician
PERMIT IS NONTRANSFERABLE
" oi�I, `!!$!2,
8 8:'2' z, * 5 4 0 O
l��o!'�
.a.�,
Qa4f4 PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
DATE ISSUED
PERMIT NO. TOTAL
o
e0'
Sap
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i CM?�1
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