1982, 07-06 Permit: 82A-5669 GaragePLAN N"rMBER
APPLICATION/PERMIT
SPOKANE COUNTY —r BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
1.
JOB ADDRESS
BLOC SUBDIVISION
Conr6e,AlL QST
LOT
2. -h
l
LEGAL DESCRIPTION — SEE ATTACHED
PARCEL NUMBER/S
OWNER
3. "'r0CL.WRic
ADDRESS
tJ v -O
PHONE
0S55-2.-14-01-
ZIP
$55'2.-1d.p1,
ZIP
aacn.-.)
Actual Set Backs in Feet
North 3 (South
East West CO�
4.
5.
CONTRACTOR
ADDRESS
DESIGNER
ADDRESS
PHONE
C) Iry T." nxtif
Size of Parcel
Zone Classification
i2rnH
ZIP
s-peaaca.LAE,
Type Const.
Occupancy
090
Sprinklered
❑Yes ❑No 0 Req'd.
PHONE
V luation
Building Area in Sq. Ft.
6169
ZIP
Main Floor
Upper Floors
Garage Area
CotCo
Storage
CHANGE OF USE FROM
6.
TO
Area of Decks
Finished Basement
Unfin. Basement
7.
TYPE
OF
WORK
4QNEW
'BLD.
❑ ALT.
❑ PLMB.
❑ AD'N.
❑ MECH.
❑ RPL.
❑ M.H.
❑ MVE.
❑ POOL
0 OTHER
No. Baths
No. Stories
No. Rooms
No. of Dwellings
k
CERTIFICATE
of EXEMPTION
Req'd.
Rec'd.
Not,q'd.
DESCRIBE WORK
Enum. Dist.
ILocation (Area)
VALUATION
SOURCE GAS
OF
UTILITIES
ELECTRIC
WATER
SEWER
SegPT cc—
Ownership
Public 0 Private 11/i
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 RE ERSE SIDE FOR REQUIRED INSPECTIO
DATE OF APPLICATION // SIGNATURE OF APPLICANTit„,/
�/
SPECIAL APPROVALS'
AME DATE
Env. e
Planning
Fire Marshall
Co. Engineer
AcyYizEcr4 o
Utilities
Plans Examiner
ec iist. 1CY
Bui41 ng -cesehnicianTech `3°M
SPECIAL CONDITIONS:
AP?ev0€0 —Pc -wry Sc.BAftil E -O
PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
FEES COLLECTED
Single $
Building *54-'00
Plumbing
Mech.
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL $ 641r-00
PERMIT NUMBER
6.2
02* *54.00
*54.006
A *000 8
56682
07-06-82
2 6479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
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