HomeMy WebLinkAbout1982, 03-01 Permit 82A-1377 Garage4.
PLAN NUMBER • I
i
APPLICATION/ PERMIT
SPOKANE COUNTY — BUILbING'CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3 COPIES
JOB ADDRESS
5 ' / i
LOT BLOCK SUBDIVISION
2. r)WOrVeNn `'t
OWNER,-r' r
3. f�
ADDRESS »f ►r/pl[[[ i /� OOL')
CONTRAC OR �" .,'I(
ADDI1ESS
DESIGNER
5' ADDRESS
LEGAL DESCRIPTION - SEE ATTACHED
riPr 04-
ZIP
PARCEL NUMBER/S 5 (O '7 r.7
Actual Set Backs in Feet
North South East West 7
Size of Parcel Zon�Classification
t�
PHONE ' Y� 0
- 7 7 3 - 2r'2
PHONE
ZIP
Typ� gOnst.
Valua
n
Occupancy
M
ces
Main FlooI Upper Floors
r\� �7;ti .
Sprinklered
❑Yes ❑No ❑ Req'd.
Building Area in Sq. Ft.
CHANGE OF USE FROM
6.
TO
Area of Decks
GlArea
Finished Basement
Storage
Unfin. Basement
TYPE
7. OF
WORK
❑ ALT.
BLD. ❑ PLMB.
EW
DESCRIBE WORK
8. `''Atl�'`r, - VAL AT ON SOURCE
9.
OF
UTILITIES
AS
❑ AD'N.
❑ MECH.
❑ RPL.
❑ M.H.
ELECTRIC
❑ MVE.
❑ POOL
WATER
❑ OTHER
SEWER
No. Baths
No. Stories
No. Rooms
No. of Dwellings
CERTIFICATE
of EXEMPTION
Enum. Dist. I Location (Area)
Ownership
Public ❑ Private
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 regulatig co truction or the
performance of construction. SEE REVERSE SIDE FOR REQUIRED INSPECTIONS f' 4
DATE OF APPLICATION
SIGNATURE OF APPLICANT
SPECIAL APPROVALS
NAME DATE
Env/ ealth
n't9' ✓j) / (J�/
I 3ii/ 6^
Fire Marshall
Co. Engineer
T
.�L Q I) ,
Utilities
Plan finer
SE
A Checklist
SPECIAL CONDITIONS:
PERMIT IS NONTRANSFERABLE
Rec'd.
Not eq'd.
FEES COLLECTED
Single $
Building e,
Plumbing
Mech.
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL $ (271
rc r(Iv,I 1 IN VIVICIGr[
A? 2.A -- t-3---n
02* *61,00
* 61,00 U)
* 61.006
*0,00
1 3 6 7 2
03-01-82
2 6,479,
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
013= � 1' 8' 213 7, 7 z *6 1. O O a _
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL
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