1983, 12-02 Permit: 83B-2200 GaragePLAN NUMBER _ a APPLICATION/PERMIT PERMIT NUMBER
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
)4) k -D LEGAL DESCRIPTION - SEE ATTACHED
LOT I BLOCK SUBDIVISION PARCEL NUMBER/S
2. 3 .Wt-
OWNER PHONE
3. - — q
ADDRESS ZIP Actual Set Backs in Feet
i
9�J. North South East West ) D -
CONTRACTOR PHONE Size ofParcel Zone Classification
I - - `� )bOX )6o' -
4' ADDRESS ZIP Type Const. ccupancy Sp inklered
9]- FO
_' ❑Yes ❑No 1:1 Req'd.
DESIGNER PHONE Valuation Building Area in Sq. Ft.
ADDRESS ZIP Main Flo6r Upper Floors Garage Area Storage C C * *390.( 0
F- oig-9�� b �o
CHANGE OF USE FROM TO Area of Decks Finished Basement Unfin. Basement * 3 9 0.'0 0
6. — ) 0 n ,.
�� No. B the No. Stories No. Rooms No. of Dwellings A * O. C 011 cc.)
TYPE U'NEW ❑ ALT. ❑ AD'N. ❑ RPL. ❑ MVE. ,
7, OF ❑ OTHER 21 q 9 g
WORK BLD. ❑ PLMB. ❑ MECH. ❑ M. H. ❑ POOL CERTIFICATE Req' Rec'd. Not Req'd.
of EXEMPTION 12-02-F3
DESCRIBE WORK Enum. Dist. Location (Area)
8 "(� �_ D ^ _ FEES COLLECTED 6, 479,
VALUATION I SOURCE GAS ELECTRIC WATER SEWER
Ownership USE CODE
OF C Public ❑ Private (2
L,
9. UTILITIES ...)'$, C)'T`f 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 Q
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 INSPECTIONS Plumbing
DATE OF APPLICATION J 2 ) J _ SIGNATURE OF APPLICAN Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE Plan Check
Env. Health ,` (� ( r ,i
ldtCC�5rj �CIUI�`� 1^lli%�"t^'v ;wt �W` SEPA
Y �C f C
Planning r../! y� �A _ C
Fire Marshall Mobile Home L
L
C Engineer _
)2
Utili s
Plans Examiner
- cx L9 '1
SEPA Checklist
B Te nician
Other (Specify)
�39O
TOTAL $
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
Y�I
PERMIT IS NONTRANSFERABLE 12 - 0 2 4' 3. 2 2 0. 0'2 * 3 9 0, 0
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL