1982, 09-28 Permit App 82A-8791 GaragePLAN NUMBER APPLICATION -/PERMIT
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
• NORTH 811 JEFFERSON / SrOKANE,OWASHINGTON 99260 / (509) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3 COPIES
JOB DDRESS ,A
07(00c;, Pr,'Kl LEGAL DESCRIPTION - SEE ATTACHED
2.
LOT I ULUUK ISUMUIV151ONPARCEL NUMBER/S I el 641 — CO
OWNER PHONE I
or
04�N . )
F2i 11 �Oila v.IC LA A,00kZ?i �G �G,�,.� /I lwAl - �1 cl�rrs n A� l l
AD KESS �{
-ZIP
Actual Set Backs in Feet
Z
North O
South
East West 3
CO f*T TACOR
'
H NE
Size of arc
1
Z ne Classi f icat' n
rb
G
1 �t77
W. S
4' ADDRESS
ii�tl
`' 1
I� . IJ1
(
Tye Const.
Occupancy
Sprin ere
❑Yes ❑No ❑ Req'd.
DESIGNER
PHONE
Valual ion
Build Rg Area inS . Ft.
5'
ADDRESS
ZIP
Main Floor
Upper Floors
Garage Area
Storage
TYPENo. Baths No. Stories No. Rooms No. of Dwellings
Er SEW ❑ALT. ❑ AD -N. ❑ RPL. ❑ MVE.
], OF J 1:1 OTHER CERTIFICATE Req/ '6 Rec' Not Req'd.
WORK I� BLD. El PLMB. El MECH. El M.H. ❑POOL f
of EXEMPTION
DESCRIB WO K Enum. Dist. I Location (Area) FEES COLLECTED
VALVA ION SOURCE GAS ELEC RIC WATER SEWER Ownership USE CODE
9. UTIO TI E9 G Public ❑PrivateVr 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 Building
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 Plumbing
/
DATE OF APPLICATION 9"/ —92 SIGNATURE OF APPLICANT t Mach.
SPECIAL APPROVALS SPECIAL CONDITIONS:
Gn
Env. Health
NAME DATE Plan Check
t7• V`i�IC�T/ Y5 I5?1, SEPA
PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
PERMIT NUMBER
F2 —21011
02* *10200
*102006
A *000
879.09
09-28'L82
2' 6479
i
Mobile Home
i
Other (Specify)
TOTAL $ 10
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
0'9-18882 879.2= *10200(OL �j -
DATE ISSUED PERMIT NO. TOTAL
30'
Drain field.
I^
r
1
m
d
It,
Gate
0
G4rdye
iP.
0
,00 Gal
Septic S I
,3nk
Norio
2
Drop sed ut;G
I De
S'
Cry f u Y e
3 Bedroom
Mobile Home
N
6' Eoscntent — — —