1982, 07-02 Permit: 82A-5646 CarportPLAN NUMBER
0/ APPLICANT:
APPLICATION/PERMIT
SPOKANE COUNTY — PIJILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE-, VvASHINGTON 99260 / (509) 456-3675
COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3•COPIES
JOB ADDRESS
1. 5. 48010 Lo(--) W c4 Y C.T.
LOT BLO K
2.
OWNER
3.—,fv'tiES
ADDRESS
S •48cx.
CONTRACTOR
12o13Ertc
ADDRESS
a. 13tV4
DESIGNER
4.
5.
SUBDIVISION
frVIgoi es'fp:I- > Co
LEGAL DESCRIPTION — SEE ATTACHED
�LlsZV�PCQ
PHONE
etxz-0A
PARCEL NUMBER/S
0444-2 1'10-7
•
ADDRESS
ZIP
Law W A4 C.T.
Actual Set Backs In Feet
North W). -.i I South
East I West C.a'
LOLoNtSen3n C..iJNST.
PHONE
q,'3.Co aqo _
Size of Parcel
42,c lSo Areacty
Zone Classification
S. w c _c rH1M4.4- y
i f)
ZIP
Q4].ten
Type Const.
Occu-pancy
AV\
t/_1
PHONE
Valuati
nroa
Sprinklered
Oyes 0 N ❑ Req'd.
4�
Building Area in Sq. Ft.
\q40
ZIP
Main Floor
Upper Floors
Garage Area
1
' Storage
CHANGE OF USE FROM
6.
TO
Area of Decks
Finished Basement
Unfin. Basement
TYPE
7. OF
WORK
sI�NEW
IJ` BLD.
❑ ALT.
13 PLMB.
❑ AD N.
❑ MECH.
❑ RPL-
❑ M.H.
❑ MVE.
O POOL
0 OTHER
No. Baths
No. Stories
No. Rgoms
No. of Dwellings
CERTIFICATE
of EXEMPTION
Req'd.
Rec'd.
Not-R/rq'd.
DESCRIBE WORK
Enum. Dist.
Location (Area)
9
8. CAlRFb 1 SL4Y.(a0
VALUATION SOURCE Ownership
OF
2(po UTILITIES
1 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
GAS
ELECTRIC
WATER
SEWER
S�t�IL
Public 0 Private IV
DATE OF APPLICATIONNN(����
USE CODE
{`/,1L-
�— SIGNATURE OF APPLICANT) IA/`-V'�(J
ClereAftMag
SPECIAL APPROVALS SPE IAL CONDITIONS: •
NAME DATE
Env. Health
Planning
Fire Marshall
Co. Englnee
Utilities
ng Technician
PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
FEES COLLECTED
Single
Building C:01?). 00
Plumbing
Mech.
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL $ 49.CC)
PERMIT NUMBED' e
%L e1 - 5[4
02* *6a00
*6800
*6800ZS
A *0'00 0
564.5B .
.07=02-82 •
'g 6479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
DATE ISSUED
.5..
56461 *68.0020.
PERMIT NO. TOTAL
c
4