1982, 06-10 Permit: 82A-4779 GaragePLAN NUMBER APPLICATION/PERMIT
l6 SPOKANE COUNTY - BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
L/ APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
JOB ADDRESS
1. - E • LEGAL DESCRIPTION —SEE ATTACHED
LOT BLOCK ISUBDIVISION PARCEL NUMBER/S
2. A►t--r.
OWNER
PHONE
3.2T
ZIP
Actual Set Backs in Feeet_
e--�ADDRESS
-�
C)
p
Y -
a��y
North Southr East West O
CONTRACTOR
PHONE
Size of Parcel
Zone Classification
tvPr1G
;AXO
A,&Q—% -
4.
ADDRESS
ZIP
Type COnst.
occupancy
Sprinklered
❑Yes ❑No ❑ Req'd.
DESIGNER
PHONE
Val tion
Building Area in Sq. Ft.
73 1
G
5.
ADDRESS
ZIP
Main Floor
Upper Floors I
Garage Area
Storage
G14 -
CHANGE OF USE FROM
TO
Area of Decks
Finished Basement
Unfin. Basement
6.
....—
. _.
%—
TYPE L /� EW ❑ ALT. ❑ AD'N. ElRPL. 11MVE.
No. Baths
-�
No. Stories
t
No. Rooms
No. of Dwellings
7, OF ❑OTHER
WORK L7 BLD. 1-1PLMB. ElMECH. [-I M.H. El POOL
CERTIFICATE
Req'd.
I Recd.
No' eq'd.
of EXEMPTION
WORK
Enum. Dist. Location (Area)
�--�DE"SCRIBE
�• y/I�TA C WE O �i1aC� G
FEES COLLECTED
VALUATION
SOURCE
GAS
ELECTRIC
WATER
SEWER
Ownership USE CODE
9.
OF
UTILITIES=�Z
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
4.6+00
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
I
performance of construction. SEEREVERSESIDE FOR REQUIRED INSPEC
NS
Plumbing
DATE OF APPLICATION .b ! �1 g �' SIGNATURE OF APPLICAN
���
Mech.
SPECIAL APPROVALS
NAME DATE
Health
oLrkLl> 4, use:
anning
ire Marshall
Co. Engineer
417102-1
miner
Building Technician
rl !/I �11 ---%
SPECIAL CONDITIONS:
PERMIT IS NONTRANSFERABLE
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL $ 5f.
PERMIT NUMBER
l)c* *5,41;0
4626r-
06-87-82
6479,
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
a �
O6 -1'U -'82t 47Z9z
*5400'a-0- -