HomeMy WebLinkAbout1982, 09-23 Permit 82A-8608 GarageI;
LOT
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
B ADDRESS
I 90 o-.3)
BLOCK SUBDIVISION
OWNER
3. 7,Tzfc - (� tz.ki is
ADDI1Ss
CONT�D
4.
ADDRESS
5.
6.
DESIGNER
ADDRESS
CHANGE OF USE FROM
TYPE
7. OF
WORK
9.
TO
N W El ALT. ❑ AD'N.
BLD. ❑ PLMB. ❑ MECH.
DESCRIBE WOR
VALUATION SOURCE
OF
UTILITIES
GAS
❑ RPL.
❑ M.H.
PHONE
IP
PHONE
ZIP
PHONE
ZIP
❑ MVE.
❑ POOL
WATE R
❑ OTHER
LEGAL DESCRIPTION - SEE ATTACHED
PARCEL NUMBER'S C? 56 - .7)'
Actual Set Backs in Feet
North 'South 10 [East
Size of Parcel
6 X j2'-‘)
Type Gonst. I Occu�ancy
Valuation
Main Floor
Area of Decks
No. Baths
Upper Floo
'West 3 v
Zo . sipation
Sprinklered
❑Yes ❑No ❑ Req'd.
Building Area in SA. Ft.
Garage Area
Finished Basement
No. Stories
CERTIFICATE
of EXEMPTION
Enum. Dist.
Ownership
Public ❑ Private
No. Rooms
Storage
Unfin. Basement
No. of Dwellings
Location (Area)
SE 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 INSPECTIO
DATE OF APPLICATION SIi NA RE OF APPLICANT
SPECIAL APPROVALS CIAL CONDITIONS:
NAME DATE
lanning
Fire Marshall
Co. Engineer
Utilities
Plans Examiner
SEPA Checklist
Rec'd.
t,Fteq'd.
FEES COLLECTED
Single $
Building 42) cJ
Plumbing
Mech.
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL
$3�
PERM1'9 NUMBER
erzA - et200
02* *36,00
*36006
A *0.00 8
860,6
09-23-82
2 6479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
,• 'UMBER
PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
09'-23'-82 860,8z *3'6,0'01a
DATE ISSUED PERMIT NO TOTAI