1982, 06-22 Permit: 82A-5232 GarageNUMB
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
JOB ADDRESS
F lcim\ .v*aor^Ea LEGAL DESCRIPTION -SEE ATTACHED
LOT BLOCK S BDIVISION PARCEL NUMBER/S
2. 1-7 12.a8-0 -MIFE -,-�.
OWNER PHONE
3. 'k
ADDRESS ZIP Actual Set Backs in Feet
15C> 'f-Z�North south 4 East west �s
CONTRACTOR PHONE Size of Parcel Zone Classification
iRth
4. a%, - 2 O
ADDRESS ZIP Type Const. Occupancy Sprinklered
S AVK - �� -' ❑Yes ❑No ❑ Req'd.
DESIGNER PHONE Va ation Building Area in Sq. Ft.
5. 3 5Z
ADDRESS ZIP Main loor Upper Floors Garage Area Storage
— ---
CHANGE OF USE FROM TO Area of Decks IFinished Basement Unfin. Basemen
6.
TYPE No. Baths No. Stories No. Rooms No. of Dwelli
EW ❑ ALT. ❑ AD -N. ❑ RPL. ❑ MVE. �-
7• OF ❑ OTHER
WORK IIIJJJ BLD. ElPLMB. ❑ MECH. ❑ M.H. ❑POOL CERTIFICATE Req'd. I Recd. Not ReF
of EXEMPTION tom/
DESCRIBE WORK Enum. Dist. Location (Area)
FEES COLLECTED
VALUATION I SOURCE GAS ELECTRIC WATER SEWER Ownership USE CODE
9. UTILOITIES SLC Public ❑Private df
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�4
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
EEySIDE FOR REQUIRED INSPECTIONS Plumbing
n ATF nF APPI IRATI(11l l l X glrKIATI IRF nF APPI WANT •"C_.. ./a.L Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE
eaAh _
nning
e Mar
Co. Engineer
9Do-C 1�05�p
Utilities
Plans Examiner
A&( 1ka, O
SEPA Checklist
n4ecnnician
PERMIT IS NONTRANSFERABLE
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL $ �11r.
PERMIT NUMBER
02* *54,00
*54.00(6
A *000
497.3
0'6-15-182
6.479,
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
0 6'`�''�','$` 2' S 2 '3y 2 z
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