1982, 06-09 Permit: 82A-4709 Garage,NUMBER APPLICATION/PERMIT
SPOKANE COUNTY - BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
JOB ADDRESS
1. N
LOT BLOCK
2. A.'2 CK;
OWNER
3. R.
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
LEGAL DESCRIPTION — SEE ATTACHED
t71ZG�-'ea2p pV 5 , pl�D
M--'coiV
PHONE
ate- ise
ADDRESS
ZIP
Actual Set Backs in Feet
4q0lL11.0G
North South (0, East Zsr West
CONTRACTOR
PHONE
Size of Parcel
Zone Classification
Sr .VILIC
► CC -X 4{j
&C. , 15ArV
4.
ADDRESS
ZIP
Type Const.
Occupancy
Sprinklered
C V",iF
-7A [
❑Yes []No ❑ Req'd.
DESIGNER
PHONE
Val y ion
Building Area in Sq. Ft.
JL
,I Q: d
o
5.
ADDRESS
ZIP
Min Floor
Upper` Floors
Garage Area
Storage
CHANGE OF USE FROM
TO
Area of Decks
Finished Basement
Unfin. Basement
6.
No. Baths
No. Stories
No. Rooms
No. of Dwelling,
TYPE NEW ❑ ALT. ❑ AD'N. ❑ RPL. ❑ MVE.
7, OF ❑ OTHER
WORK BLD. ❑ PLMB. ❑ MECH. ❑ M.H. ❑ POOL
CERTIFICATE
Req'd.
I Recd.
Not R�q'd
of EXEMPTION
,Y/
DESCRIBE WORK %STIA)
Enum. Dist.
Location (Area)
9Dv-r^C.!" o G A S V4 sa-As o' 2
FEES COLLECTED
VALUATION
SOURCE
GAS
ELECTRIC
WATER
SEWER
Ownership USE CODE
9.
I UTILOITIES
`C
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 #�,C=
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
L.
DATE OF APPLICATIOk SIGNATURE OF APPLICAN
Mech.
SPECIAL APPROVALS
NAME DATE
Env.,4tXlth
Panning
Fire Marshall
Co. Engineer
c ST 4 Ao ! 17Q� V fi
Utilities
Plans Examiner
CONDITIONS:
Plan Check
SEPA
Mobile Home
Other (Specify))
TOTAL $3=p_
PERMIT NUMBER
Z2 � X70 9
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
i
ng,Vcnni�c,ia =PERMIT IS NONTRANSFERABLE I -0'16 F'-0•''9' r8'2` 4 7 a9 z *4 a 0 0 a. I
w
11