1982, 07-09 Permit: 82A-5843 GaragePLAN NUMBER APPLICATION/ PERMIT PERMIT NUMBER
SPOKANE COUNTY - BUILDING CODES DEPARTMENT
(� NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
JOB A RESS
LOT O
2. "-5
OWNER
3.
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
3 LEGAL DESCRIPTION — SEE ATTACHED
]SUBDIIVISION ( � � �� � PARCEL NUMBER/S I 7�j r3 _ 2
NONE
ADDR S
Actual Set Backs in Feet
D
7
NorthSout� East
West
CONTR,pCT
p—
PH NE
Size c_t Parcel
Z e Classification . I
4. ADDRESS
ZIP
nst.
Tyq C
V
Oc uancy
_
Sprinklered
❑Yes ❑No ❑ Req'd.
DESIGNER
PHONE
Valuation
Building_Area in Sq. Ft.
Z
5' ADDRESS
ZIP
Main FI or Upper
Floors
Garage Area.
re
Storage
__
CHANGE OF USE FROM
TO
Area of Decks
Finished Basement
Unfin. Basement
6.
No. Baths
No. Stories
No. Rooms
No. of Dwelling
TYPE ❑ W ❑ALT. AD'N. El RPL. ❑ MVE.
7. OF El OTHER
BLD. 1-1PLMB. ❑ MECH. ElM.H. ElPOOL
CERTIFICATE
Req'd.
Rec'd.
Not q'd
WORK
of EXEMPTION
DE CRIBE WOR
Enum. Dist.
Location (Area)
FEES COLLECTED
8
VALUATION
SOURCE
GAS
ELECTRIC
WATER
EWER
Ownership
USE CODE
9.
OF
UTILITIES
Public ❑ Private
Single $
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
Building_
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. SEEREVERSESIDE FOR REQUIRED INSPECTIO
Plumbing
DATE OF APPLICATION 0 +� SIGNATURE OF APPLICANT
Mech.
SPECIAL APPROVALS
NAME DATE
Env. Health
Planning
Fire Marshall
Co. Engineer
Utilities
t /I
SPECIAL CONDITIONS:
PERMIT IS NONTRANSFERABLE
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL $ rte'
02* *61.00
584,2 0
07-09-82
6,479,
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
0170'� -825�8 4 3
VC,
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LE.- . 11, J,- —�jf
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