1982, 03-09 Permit: 82A-1573 Garage LLANNUTMBER
PERMIT NUMBER'
APPLICATION/PERMIT
/---' ''n� SPOKANE COUNTY — BUILDING CODES DEPARTMENT �1A 15? 3
E� 62 () // / 5]U�, NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
JOB ADDRESS * * O J
1. ,_ _fi LEGAL DESCRIPTION — SEE ATTACHED . :i C, s
LOT BLOCK SUBDIVISION PARCEL NUMBER/S - � C,21 * h 1. C C
2.13.- 1: IAtJ< � rI� "'V
OW " � � F * n , 0
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3. dp��,.-,���
ADDRESS i_ ' `, '/� ZIP Actual Set Backs in Feet 1 4 G 0 L'
T 1�"�v 1727n -M*Ki North 'South East 'West0 f2, '_ •
CONTRACTOR PHONE Size of Parcel Z ne Classification 4
; �— ->�n.- L124e 77 —r 9 ;tic-') I?)►( w: - __ 6. 4 i 9.
4' ADDRESS '� �7 l' t'' - ZJ 1 G fA_/Tv oust. Occy,incy Dyes ❑No Sprinklered❑ Req'd.
DESIGNER� �
I P Valuation Buildin Are in Sq. Ft.
-- 139 ÷i&o 10
5. ADDRESS ZIP Main Floor UpperFloors Garage Area Storage -
`
d
CHANGE OF USE FROM TO Area of Decks Finished Basement Unfin. Basement
6.
TYPENo.Baths No. Stories No. Rooms No. of Dwellings
N W 0 ALT. ❑ AD'N. 0 RPL. ❑ MVE.
7. OF 0 OTHER /
WORK BLD. ❑ PLMB. 0 MECH. 0 M.H. 0 POOL CERTIFICATE Req'd. Recd. Ngtq'd.
of EXEMPTION LL
DESCRIB WORK N. Enum. Dist. Location (Area) '
8. C �� +4",- N ,LAI? I FEES COLLECTED
VALUATI SOURCE GAS ELECTRI WATER SEWER Ownership USE CODE
OF
9. UTILITIES Public ❑Private 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
type of work will be complied with whether specified herein or not. The granting of a permit does not presume Building
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 Plumbing
i
DATE OF APPLICATION • -`-s.c ` SIGNATURE OF APPLICAN . �_7 �~; �Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATEFLIN\ ►N nu, Plan Check
7alth
AD, 3/7SEPA c
ning CC
- u
Fire Marshall Mobile Home -
-u
Co. Engineer Other(Specify)
Utilities I
TOTAL $
Plans Examiner
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist THIS BECOMES A PERMIT.
SK g Te` ciayi r• PERMIT IS NONTRANSFERABLE 0 5 �Q.9.-8'2. 1 5 7. 3 z *•6 1,0,0 d �.
\) PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL
NOkif 1,0 ft., - 17
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59 /