1982, 03-18 Permit: 82A-1918 Garage Addition PLAN NUMBER 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 v' C * * G U O
1. (7` 1.2- ICS 011+ LEGAL DESCRIPTION — SEE ATTACHED
LOT BLOCK SUBDIVISION PARCEL NUMBER/5
141 - 1 .1 C
2.
OWNER HONE 1 l c , �L , I9 ' � ` I/9I F c. 2•t0 ' r- r; i (
9
3. - - Ii xY Ki r2 -er , ki Y
ADJORESS, IP Actual Set Backs in Feet 1
t�l(� � � North 40 'South 1009 East 'West _
CONTRA TSR PHONE Size of Parcel Z ne Classification L z
190 Svc- - -�6 6 . A47Q,
4. ADDRESS ZIP Ty onst. O pancy Sprinklered
H� ❑Yes ❑No ❑ Req'd.
DESIGNER PHONE ValuationBuilding Area in Sq. Ft.
5' ADDRESS ZIP MaiF o �' Upper Floors �Gpraye Area Storage' in rage _
,t✓j fir—.
CHANGE OF USE FROM TO Area of Decks Finished Basement Unfin. Basement
6. -- —
TYPE 'LJ,�{/ No. Baths No. Stories No. Rooms No. of Dwellings
❑ 0 WALT. AD'N. 0 RPL. 0 MVE.
7. OF 0 OTHER - Req'd. Recd. Not ti'd.
WORK ��LLLJJJ BLD. 0 PLM B. 0 MECH. 0 M.H. ❑ POOL CERTIFICATE
of EXEMPTION
DESCRIBE WORK I Enum.Dist. I Location (Area) r FEES COLLECTED
VALUATI N SOURCE GAS ELECTRIC WATER SEWER
Ownership �,/USE CODE
9. UTILITIES �OF tC Public 0 Private LJ"
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 INSPECTIO.5 Plumbing
/
DATE OF APPLICATION -" iG 2 Z_ SIGNATURE OF APPLICAN / —L- Mech.
SPECIAL APPROVALS SPECIAL CONDITION§: /.2,,.;-,
NAME DATE k; �� I/ Plan Check
Env, a th // A) ��l l7
-S//b SEPA >
Planning
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U
Mobile Home w
Fire Marshall .�
ii
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Co. Engineer Other (Specify)
Utilities
TOTAL $ °
s Exarn
�- WHEN MACHINE VALIDATED IN THIS SPACE,
EPA hecklist THIS BECOMES A PERMIT.
Bulk! Te iclyn PERMIT IS NONTRANSFERABLE 0'3 ' �1 8 -8'.2 191.8 1 *6 8, O 0 a PI -
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL
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