1982, 11-30 Permit: 82B-1525 GaragePLAN NUMB
1.
APPLICATION/PERMIT
SPOKANE COUNTY - DEPARTNIENTbF BUILDING & SAFETY
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3 COPIES
STREETDDRES�S
5- 2
— L"J I U-dEN]
SUBDIVISION -1z�tisT) InJLt K-1 5L i5por OF to
2.
LOT
(_2
OWN
BLOCK
PARCEL NO. + r —
(7 7
Z7
IN
17N 12,
MAIL
3 ADDRESS
NJ • 5O2. IJ ILl-
PHONE
7,4 - z3ro
PHONE
LEGAL DESCRIPTION:
ZIP
4.
5.
CON&AcrgRis f%.
LICENSE EXPIRES
ADDFSS 140"
DESIGNER
P O E
r _ r2
ZIP
35r -
Actual Set Backs in Feet to:
North 5 'south rJ 3 East
Size of Parcel
ZGax
Type 73iti
Occupancy
IWest
Z neClassification
�N -rim
Sprinklered
❑Yes 3.No Req 'd.
Residential C�
Commercial ❑
PHONE
New Const. Valuation
4-5'2-
Remodeled
-3
Remodeled Valuation
Total Bldg. Floor Area
72c.
ADDRESS
CHANGE OF USE FROM
6.
ZIP
TO
TYPE 21" -NEW ❑ ALT. LI AD' N. ❑ RPL. ❑ MVE.
7 WORK OF
❑BLD. ❑ PLMB. 0 MECH. 0 M.H. 0 POOL ❑ OTHER
Main Floor
Upper Floors
Garage/Storage
Greenhouse
Cover Deck
Uncv. Deck
Fin. Basement
Unfin. Basement
No. Baths
No. Floors
No. Fin. Rooms
No. Dwellings
Certif I. of Exempt.
or Variance
Required Yes❑ No❑
Received Yes❑ No❑
Number
8.
DESCRIBE WOR
crfrc-
VALUATIONr SOURCE
9 OF
LITIES
2-16C9
WATER
PUBLIC ❑
PRIVATE ❑
GAS
ELECTRIC
Shorelines/Flood Hazard
Yes❑ Not Appllo. e
SEWAGE
SEPTIC
SEWER ❑
Ownership
Public ❑ Private
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 presume to give au-
thority to violate or cancel the provisions of any other state or local law regulating construction or the performance
of construction. SEE REVERSE SIDE FOR REOUIRED INSPECTIONS
SIGNATURE OF
OWNER OR AGENT
APPLICATION p
DATE
SPECIAL APPROVALS L/
PRELIM. FINAL DATE
Env. Healt
Planning
Fire
Prevent.
Engineer
Utilities
SEPA
Plans
Exam.
Building
Tech.
l ZO
SPECIAL CONDITIONS: (SEE REVERSE SIDE FOR NOTICE)
PERMIT IS NONTRANSFERABLE
PERMIT IS NULL AND VOID IF WORK HAS NOT COMMENCED
IN 180 DAYS
Plans Required ❑/
Received s3
FEES COLLECTED
Building
Plumbing
Mech.
Plan Check
SEPA
Modular/
MFG. Home
Other (Specify)
TOTAL $ 71
PERMIT NUMBgR
-Ir25
62* *61.00
*61.006
A *0,00 8
14252
11-29-82
2 6479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
DATE 61LED3 0 - 8 2
PERMITNtY. 2 5 Z
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