1982, 07-02 Permit: 82A-5655 CarportrOAN 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. E- . t Sc*3.JT"
LOT BLOCK
2.'3
LEGAL DESCRIPTION - SEE ATTACHED
SUBDIVISION
E24, l ry IF5i-<--t`5c�
OWNER
3 %./A ( kvGt-k
ADDRESS
- i380
PHONE
ct
PARCEL NUMBER/S
ZI P
Actual Set Backs in Feet
North ..)1 -v. -"a- !South
I;
East `J West
4.
CONTRACTOR
SNlp-re }
ADDRESS
CCaGC-
PHONE
C.cS--c.
Size of Parcel
' I
Zone Classification
ZI P
Type ;onst.
Occupancy
Sprinklered
❑Yes ❑No ❑ Req'd.
5.
DESIGNER
PHONE
V I ation Building Area in Sq. Ft.
ADDRESS
ZIP
Main Floor
Upper Floors
Garage Area
to -24
Storage
CHANGE OF USE FROM
6.
TO
Area of Decks
Finished Basement
Unfin. Basement
TYPE
7. OF
WORK
re NEW ❑ ALT. VAD'N. 0 RPL. 0 MVE.
I/BLD. 0 PLMB. 0 MECH. 0 M.H. 0 POOL
4;-Pek-l; , a Cc -X.)6¢.. 0Ox 2c)
C Q. -Pa 2. 4- L-ep;
.c.;>
.c
DESCRIBE WORK
8. Aii AC. S>
VALUATION
9.
❑ OTHER
No. Baths
No. Stories
No. Rooms
No. of Dwellings
CERTIFICATE
of EXEMPTION
Req'd.
Rec'd.
Not Req'd.
v
SOURCE GAS ELECTRIC
OF
UTILITIES
Enum. Dist.
Location (Area)
WATER SEWER
Ownership I USE CODE
Public ❑ Private �tll{
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 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 �j
DATE OF APPLICATION '-� +'`"lt�"'NATURE OF APPLICANT. - a - li 2-
SPECIAL CONDITIONS:
SPECIAL APPROVALS
NAME DATE
Env. Health
x P,«/4U
��v
Fire Marshall
Co. Engineer
Utilities
Plans Examiner
fg F. L.,E
SEPA Checklist
Bui inggTT'ecchhr ician
1
PERMIT IS NONTRANSFERABLE
FEES COLLECTED
Single $
Building 4'54'00
Plumbing
Mech.
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL
$54ct5
PERMIT NUMB'ER
02* *54,00
*54.00'6
A *0.00 S
56542
070-02-E2
6479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
07,'82 -8 2; 5 6 5:5z
400 aE- _
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL
t
Extra charge for setting LOT markers. No Markers set Survey for Loan purposes only.
Scale I" = 20 Ft. Surveyed: September 22, 1969
I hereby certify that I surveyed the above described property and that I find the improvements to
be on the premises in question and that they do not encroach on the property lying adJacan thereto—
EXCEPT: +7
4
NO improvements encroach on these premises—Except:
0
OWNER or BUYER
Lyle A. Koch
East 13808 8th
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caprtarne
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400
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9 Ti.
400'
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to'
97
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