1982, 09-27 Permit: 82A-8729 GaragePLAN NUMBER MIT NuFOIER
APPLICATION/ PERMIT PER�
SPOKANE COUNTY -- !IU1LDING CODES DEPARTMENT
r
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3 COPIES
JOB ADDRESS
1. i- M�. LEGAL DESCRIPTION - SEE ATTACHED
LOT I BLOCK B I 1 ION PARCEL NUMBER/Si j.—I31 (=)Y 15-a401 btr,W It
2. dw t W,
OWNER
PHONE
3. l�� CL i� • wriZ'C tJ
Q��.-4`34-
tS�-a,- 13�
ADDRESS
ZIP
Actual Set Backs in Feet
�,t
N. Sk4-Y-` \(riL
Aco-Il
North '31 South
East1 West
CONTRACTOR
PHONE
Size of Parcel
Zone Classification
S 0. rr-z LAW,
"7 X \ 55
AG zk -
4. _
nJDRESS
ZIP
Type Const.
Occupancy
Sprinklered
—3tN—
I
I
❑Yes ❑No ❑ Req'd.
DESIGNER
PHONE
Val ion
,43ZO
Building Area in Sq. Ft.
-Xa
5.
ADDRESS
ZIP
Main Floor Upper
Floors
Garage Area
Storage
CHANGE OF USE FROM
TO
Area of Decks
Finished Basement
Unfin. Basement
6.
.
--
No. Baths No. Stories
L
No. ooms
No. of Dwelling
TYPE NEW ❑ ALT. ❑ AD -N. ❑ RPL. ❑ MVE.
7, OF ❑ OTHER
BLD. ❑ PLMB. ❑ MECH. ❑ M.H. ❑ POOL
CERTIFICATE
Req'd.
Recd.
Not R�q'd
WORK
of EXEMPTION
I
DESCRIBE WORK
Enum. Dist.
Location (Area)
FEES COLLECTED
8• ^�BTAGi'1c�0 WP�tfZ SG.. � ���'�(,"3t?
VALUATION
SOURCE
GAS
ELECTRIC
WATER
SEWER
Ownership
USE CODE
9.
OF
UTILITIES
F-'�•rL�
Public ❑Private
Single $
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
®
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. SEE REVERSE SIDE FOR REQUIRED INSPECTICIlk
Plumbing
DATE OF APPLICATION' -F9776: SIGNATURE OF APPLICANT
Mech.
SPECIAL APPROVALS
SPECIAL CONDITIONS:
NAME DATE
Plan Check
nv. Health
'
G7t CA i r q 1.7--1
SEPA
Planning
Fire Marshall
Co. Engineer
t �: T 1 j2t V Ccs
Utilities
Plans Examiner
(7N• F1(-C-
SEPA Checklist
Butk ing
// Technician
l 1 . .,ten1A
PERMIT IS NONTRANSFERABLE
Mobile Home
Other (Specify)
TOTAL $ GI'
02* *61,x0
*61,00
A *0.0r
872,8 72
09-27-82
6.479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
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