1982, 04-21 Permit: 82A-3037 GaragePLAN NUMBER APPLICATION/PERMIT PERM`, r NUM,17ER
SPOKANE COUNTY — BUILDING CODES DEPARTMENT f3zA - 3o-� 7
A NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
Cl/ APPLICANT:
COMPLETE NUMBERED SPACES -
PRESS HARD TO MAKE 3 COPIES
JOB ADDRESS
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0I
LEGAL DESCRIPTION -SEE ATTACHED
1.
N
LOT
BLOCK
B I ISION
�y %
PARCEL NUMBER/S y�� --r D ( ie)2.
VV
0�V
O
N R
P ON
24-7
3.
ADD ESS
►!!
ap
Actual Set Backs in Feet
r
`v
North South East West
CONTRACT R 'AM_
�Cy�'
PHONE
Size
of Parcel<510Zo
144
e Classification
'rpVSprinklered
4' ADDRESS
ZIP
Type/ nst✓V`
cc O
p ncy
V
❑Yes ❑No ❑ Req'd.
DESIGNER
PHONE
Valuation
Building Area in Sq Ft.
5.
ADDRESSZIP
Main Floor
Upper Floors
Garage Area
Storage
CHANGE OF USE FROM
TO
Area of Decks
Finished Bas ment
Unfin. Basement
No. Baths
No. Stories
No. Rooms
No. of Dwellings
TYPE `yy ❑ALT.
❑ AD'N. ❑ RPL.
❑ MVE.
7, OF /
❑OTHER
_
WORK BLD. ❑ PLMB.
❑ MECH. ❑ M.H.
❑ POOL
CERTIFICATE
Req'd.
I Recd.
Not,Peeq'd.
of EXEMPTION
DESCRIBE W RK
Enum. Dist.
I Location (Area)
FEES COLLECTED
a. P
VALUATIO SOURCE GAS ELECTRIC I WATER SEWER Ownership USE CODE
OF Public ❑ Private
9. UTiLIT1ES Single $
I 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
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 INSPECTION Plumbing
DATE OF APPLICATION 7 — '20— SIGNATURE OF APPLICANT Mech.
SPECIAL APPROVALS
NAME DATE
inning
re Marshall
�. E ee
ilities
Ns Exa er
=PA Checklist
SPECIAL CONDITIONS:
Plan Check
V-57-V `riQ,��' SEPA
6171 1' 1 F\C.011Si, LC-71�t):lZ 4 z.7 i 1'f- IR AiJ
Mobile Home
?i, lJ Other (Specify)
PERMIT IS NONTRANSFERABLE
TOTAL $ 4:g 1
WHEN MACHINE VALIDATED
THIS BECOMES A PERMIT.
04'—i
4 ,_ 2x_8 2'
IS SPACE,