1982, 03-24 Permit App: 82A-2132 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
2.
JOB FIDD RF�S� I� %f
LOT.N1 BL I SUBDI �SI 0 1
LEGAL DESCRIPTION — SEE ATTACHED
OWNER
s. c COOtRj0 rAic
ADDRESS
PHONE �S
7�3-7M2-
PARCEL NUMBER/S 17 5 t - 0 5 0
ZIP
Actual
North
5 t Backs in Feet
9 (south 5
East 3 O
West
4.
5.
CONTRACTOR
CcOo ss &t, f3 i 49c .
ADD• f`E55G9 55 J5& tiCK0
DESIGNER
sic
PHO
- Sir
Slze1of Pa
cel
X 7427
Zone Cie illation
Typ�o/I st.
Occ piancy
Spr nklered
❑Yes ONo 0 Req'd.
PHONE
Valuating.
2-0
Building Area in Sq. Ft.
ADDRESS
ZIP
Main Floor
Upper Floors
77-d
Garage Area
Storage
CHANGE OF USE FROM
6.
TO
Are of Decks
Finished Basement
Unfin, Basement
TYPE
7. OF
WORK
I
BLD.
❑ ALT.
❑ PLMB.
❑ AD N.
❑ MECH.
DESCRIBE WORs`
8.
O RPL.
❑ M.H.
O MVE.
O POOL
0 OTHER
No. Baths
No. Stories
No. Rooms
No. of Dwellings
CERTIFICATE
of EXEMPTION
Req•d.
Recd.
Not 74-1.
Enum. Dist.
Location (Area)
9.
VALUATION SOURCE
OF
UTILITIES
GA
ELECTRIC
WATER
SEWER
Ownership
Public 0 Private
cv/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
S -/f- Olt/
SIGNATURE OF APPLICANT
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE
Fire Marshall
Co. Eggjgear
U
Utnit)es
Plans Examiner
SEPA Checklist
rLetk. -04 b 147
60o/7/67uck. /
Ak7E !ofEn7Y owx)C.0 .Qe9u/eeo To dons/ ST D•
Dpiutwsu� ,Qy,c scw- u)wau Cones 0ews7�7m. oil
.dge4A,GE w;TM .Z rvccoper are- Artie acw Corsi.
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
PERMLIT N MSER
62- 2132.
024 *61.00
* 61.00
* 61.00'6
A *000
1926.R •
03-18'-82
6479.
WHEN MACHINE VALIDATED IN.THIS SPACE,
THIS BECOMES A PERMIT.
4t
DATE ISSUED
1, •
2'153.2 ',IL 0 0 re.•:1-4
PERMIT NO. TOTAL'
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Address 1/4171-7 PA -Py
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