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1983, 03-15 Permit: 1866 Garage Addition
PLAN NUMBER APPL!CI TION/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 1. 2. 3. JOB ADDRESS I2 -114 - LEGAL DESCRIPTION - SEE ATTACHED LOT BLOCK SUBDIVISION OWNER I4Y 6 �L ADD SS ▪ 12©lam ,_ c.:c-13G� i - PHONE La �7 1cD PARCEL NUMBER/S — Actual Set Backs in Feet North 'South East (West 4. CONT ADDRESS! PHONE Size of Parcel ZIP TYA n st. OccuPancY V 1 Zo a Classificati n -7L 6 Sprin lered ❑Yes ENo ❑ Req'd. DESIGNER 5' ADDRESS PHONE Valuation 19-0CC Buildin Areaaiiin Sq. Ft. ZIP Main Floor Upper Floors c a.9ge Area Storage CHANGE OF USE FROM 6. TO Area of Decks Finished Basement Unfin. Basement TYPE 7. OF WORK 8. 9. ❑ NEW ❑ ALT. «BLD. D PLMB. 0 MECH. DESCRIBE WORK O RPL. O M.H. ❑ MVE. O POOL SO RCE OF UTILITIES GAS ELECTRIC WATER ❑ OTHER SEWER No. Baths No. Stories No. Rooms No. of Dwellings CERTIFICATE of EXEMPTION Enum. Dist. Location (Area) Ownership Public ❑ Private ID / USE CODE Req'd. 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 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 DATE OF APPLICATION/- C /7 SIGNATURE OF APPLICAN SPECIAL APPROVALS SPECIAL CONDITIONS: NAME DATE Env. Health Planning Fire Marshall Co. Engineer Utilities Buil Te an PERMIT IS NONTRANSFERABLE PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE Rec'd. Not Rp<'d. FEES COLLECTED Single $ Building Plumbing Mech. Plan Check SEPA Mobile Home Other (Specify) TOTAL $ PERMIT NUMBER WHEN MACHINE VALIDATED IN THIS SPACE, THIS BECOMES A PERMIT. 03;-15'-'83 18662 *20.00 DATE ISSUED PERMIT NO. TOTAL O — ll H L i.