1982, 04-09 Permit: 82A-2678 GaragePLAN NUMBER.- _—_R�
`5 '3
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
. a, )L{- 82 I EiC� )4TJ AVE
LOT BLOCK SUBDIVISION
OWNER
3. u) 1 L_/Anti\ 12-, JENT
ADDRESS
PHONE
2Z-5LYg9
ZIP
E, 14vAci 031
CONTRACTOR
4. ADDRESS
DESIGNER
6. ADDRESS
CHANGE OF USE FROM
6.
TYPE
7. OF
WORK
PHONE
ZIP
PHONE
ZIP
TO
L7 NEW ❑ ALT. ❑ AD'N.
E BLD. ❑ PLMB. ❑ MECH.
❑ RPL.
❑ M.H.
❑ MVE.
❑ POOL
❑ OTHER
LEGAL DESCRIPTION - SEE ATTACHED
PARCEL NUMBER/S Z 3 5-11.1 - i(57Z2...
t1+i� s0t4Yl4 I5u FP-±cT of TNS EAT /00 F+Efx
Cr -> c -r 13,590 xc_ 714 -A -T roe-ro(
I c -W 'ED To sperckhirc.. Co.1N-ry Foe.
ihielligtr AVF
Actual Set
tty/ Backs in Feet '7 I
North Z-1 ' 'South 5'ot LEast �(West /
Size of Parcel
)katx
Type Const.
V -N
Valuation
-t
Main Floor
Occupancy
1M-/
Zone Classification
Ac,gic a-(hISL-sui3
Sprinklered
❑Yes ❑No ❑ Req'd.
Building Area in Sq. Ft.
Upper Floors
Area of Decks
Garage Area
Storage
Finished Basement 1 Unfin. Basement
No. Baths 1 I No. Stories
DESCRIBE WORK
8. AMRUE- - PE1 Aci4E-i>. !t'x 3.`)
VALUATION SOURCE
9�"1.��oc OF
} - UTILITIES
GAS
ELECTRIC
WATER
SEWER
CERTIFICATE
of EXEMPTION
Enum. Dist.
No. Rooms
Req'd.
No. of Dwellings
ii
Rec'd.
Not Req'd.
ILocation (Area)
Ownership
Public ❑ Private ❑
USE CODE
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 • 'es not presume
to give authority to violate or cancel the provisions of any other state or local law regulating c• str�uction or the
performance of construction. SEE REVERSE SIDE FOR REQUIRED INSPECTION
DATE OF APPLICATION SIGNATURE OF APPLICANT
SPECIAL APPROVALS
NAME DATE
Planning
'11,/
Fire Marshall
41 (k2_
Ian.Examiner ,�
SEPA Checklist
Building T hnician
SPECIAL CONDITIONS:
06.00
( 2 c:{ 0.7 " v� �x
--A13--A134.0 CQ : S V\94).)- ( n"�
PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
FEES COLLECTED
Single
Building
Plumbing
Mech.
Pian Check
SEPA
Mobile Home
Other (Specify)
54(.00
TOTAL $
PERMIT NUMBER
02* *54.00
*54,006
A *0.00
267.72
0409.82
2_ 6479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
04 {g-82 267.82 *54OOav- _
DATE ISSUED PERMIT NO. TOTAL
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