1982, 08-12 Permit: 82A-7072 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
D
JOB ADDRESS
Size of Parcel
Zone Classification
LEGAL DESCRIPTION — SEE ATTACHED
LOT
BLOCK
(00 1C 2 0 a
Ac --t 5 _
4.
PARCEL NUMBER/S �(�` OF Lpi 1
2.
I
ISUBDIVISION
ADDRESS
�.._. T*F c w-e-�o -
% .�— 3 [a t
OWNER
3. l.0A'P—eZf'1)
PHONE
ADDRESS
Sprinklered
NYAC
Actual Set Backs in Feet
IE - ?��-
Q l �1�
/ZIIP��
1
North Southo.4-t East West
CONTRACTOR
❑ ALT.
PHONE
Size of Parcel
Zone Classification
IT> ri� E
No. of Dwellings
7, OF
(00 1C 2 0 a
Ac --t 5 _
4.
Req'd.
Recd.
ADDRESS
WORK BLD.
ZIP
Ty a Const.
Occupancy
Sprinklered
NYAC
I
❑Yes [-]No ❑ Req'd.
DESIGNER
PHONE
VaLuation
Building Area in Sq. Ft.
DESCRIBE WORK
A S I, e
Location (Area)
5.
8.
C
Af-Aw
� 4f'� X3(!
ADDRESS
ZIP
Main Floor
Upper Floors
Garag-e4A,rea
Storage
CHANGE OF USE FROM TO Area of Decks Finished Basement Unfin. Basement
6. �r
TYPE LST �/
NEW
❑ ALT.
❑ AD'N. ❑ RPL. ❑ MVE.
No. Baths
No. Stories
No. Rooms
No. of Dwellings
7, OF
❑ OTHER
Req'd.
Recd.
Not�'d.
WORK BLD.
❑ PLMB.
❑ MECH. ❑ M.H. ❑ POOL
CERTIFICATE
I
of EXEMPTION
DESCRIBE WORK
Enum. Dist.
Location (Area)
8.
C
Af-Aw
� 4f'� X3(!
FEES COLLECTED
VALUATION I SOURCE GAS ELECTRIC I WATER I SEWERUSE CODE
Ownership
OF
9. UTILITIES <G6i(P("kC_ 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
type of work will be complied with whether specified herein or not. The granting of a permit does not presume Building
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 Plumbing
DATE OF APPLICATION �✓�— 0— SIGNATURE OF APPLICAN Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE Plan Check
E Health
r�_/,, , ff//Z-
n
Fire Marshall
Co. Engineer
Utilities
Wangm!7
EMW C klist
Bu ing Technician PERMIT IS NONTRANSFERABLE
SEPA
Mobile Home
Other (Specify)
TOTAL $ C=& C90
WHEN MACHINE VALIDATED IN TH
THIS BECOMES A PERMIT.
PER ',TUU;,;,"f�LEER��7
18 2,A— �/ l72—
SPACE,
i
707,22
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