1983, 03-04 Permit: 83A-1536 GaragePLAN NUMBER
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
1. /S30/
2.
LOT
LEGAL DESCRIPTION — SEE ATTACHED
B OCK
SUBDIVISION
3. L t(
OWNER Stufzpg
-734
PARCEL NUMBER/S
407-5/ — 0/57-5
Part,046,D
j367ka►te..,
ZIP9y0/ J
CONTRATOR
4.
COOLS s -i-> BC,,; .t(1,zr
ADDRE S
f G3 4 op Lk.1J)t -Casik— z,ANa
DESIGNER
FJ. ADDRESS
PHONE
/39
Actual Set Backs in Feet
North 10 ( JSouth 01
Size of Parcel
East � � West
(r I
Zone Classification
ZIP 1
PHONE
Type Const.
(\.)
Occupancy
1AA-4ww
Sprinklered
❑Yes ❑No ❑ Req'd.
Valuation
62912*
ZIP
Main Floor
Upper Floors
Building Area in Sq. Ft.
Storage
Garage Area
gcr-> "'1
CHANGE OF USE FROM
6.
TO
Area of Decks
Finished Basement
Unfin. Basement
TYPE
7.1f OF
WORK
DAw
,�/ ❑ ALT.
`LI BLD. D PLMB.
❑ AD'N.
D MECH.
❑ RPL.
❑ M.H.
❑ MVE.
O POOL
0 OTHER
No. Baths
No. Stories
No. Rooms
No. of Dwellings
CERTIFICATE
of EXEMPTION
Req'd.
Rec'd.
Not Re
D SCR. )-iJORK
8.
GAS
CL t
VALUA r
I
•
'oap
/
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
type of work will be complied with whether specified herein or not. The granting of a permit does not presu
to give authority to violate or cancel the provisions of any other state or local law regulating construction�.�`))e
performance of construction. SEE REVERSE SIDE FOR REQUIRED INSPECTIONS
SOURCE
OF
UTILITIES
Enum. Dist.
Location (Area)
ELECTRIC
ATER
SEWER
Ownership /USE CODE
Public ❑ Private
DATE OF APPLICATION
3
SPECIAL APPROVA S
To„,
Planning
nv. Health
NAME DATE
Fire Marshall
Co. Engineer
Utilities
Plans Examiner
SEPA Checklist
Building Technician
./-
SIGNATURE OF APPLICANT.,' .
SPECIAL CONDITIONS:
PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
FEES COLLECTED
Single $
Building •7�
lumbing
Mech.
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL $ 5 --
PERMIT NUMBER
j
e3 jS�ip
(j2* *7500
*75006
*0.00 m
15358
03-04-83
g 64.79,
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
DATE ISSUED PERMIT NO. .
153.6z\ ▪ * 150.001r! -
TOTAL
>-
U -
WHEN
U -
Name
(919141:.BUILDING
Post Falls, Idaho (208) 773-5809
Spokane, WA (509) 455-5139
Address(._ .,. L: }. ., .it. T:I. ",'. /j`,
City ,. ...,. ... State C L
BEG . :'i. :Ln' .
Tl-! ;',L '1 i, �7 S' . 1 L.. 7.0 f. 1 ,r ;- - T I. ` 1 mn .f ,
./.fj_
County is Zip '7.' 1.. ' • 1 ..v r; .. .z _ P .i,.,._,
Telephone
Representative