1982, 05-06 Permit 82A-3549 GaragePLAN NUMBER
APPLICATION/PERMIT
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
PERMIT NUMBER
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
JOB ADDRESS
I �� l.>`� CI Io-JL�,
T BLOCK SUBDIVISION
3
4.
6.
—EAFINER
ADIORESS
5 'U
CONTRACTOR
Cn2
ADII0RESS
DESIGNER
HON
ZIP
LEGAL DESCRIPTION — SEE ATTACHED
PARCEL NUMBER/S "2 Ir 4 —
PHONE Size of Parcel
4 5-.51?f, Ior� 16°
p Type Tnst. Occupancy
PHONE
ADDRESS ZIP
CHANGE OF USE FROM
TYPE
7, OF
WORK
TO
?EW D ALT. ❑ AEON. ❑ RPL. ❑ MVE.
❑ BLD. ❑ PLMB. ❑ MECH. ❑ M.H. ❑ POOL
❑ OTHER
Sprinklered
❑Yes 0No 0 Req'd.
Building Area In Sq. Ft.
Main Floor Upper Floors rage Area
Area of Decks
Finished Basement I Unfin. Basement
Storage
No. Baths I No. Stories
CERTIFICATE
of EXEMPTION
No. Rooms INo. of Dwellings
Req'd.
Rec'd.
Not R(q'd.
L
DESCRIBE WOR
8.
VALUAT
9.
ON
SOURCE
OF
UTILITIES
AS
I D 7L
ELECTRIC
WATER
SEWER
Enum. Dist.
Location (Area)
Ownership /USE CODE
Public 0 Private 1 '
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 � '— (�" SIGNATURE OF APPLICAN 6dZ'Ejl /
SPECIAL APPROVALS
NAME DATE
e��,,��
E niC//a l t h��
Planning_��
Fire Marshall
Co. Fnglneer
do V)
Utilities
Plans Examiner
PLS 111-6
SEPA Checklist
SPECIAL CONDITIONS:
FEES COLLECTED
Single $
Building
Plumbing
Mech.
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL
02* *54.00
*54.00 17)
*54.006
A *0.00
34.9.0-
05-05-132
z 6,479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
Building T.
nr t
PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
DATE0I5$4I, Q�22
PERMIT r 4, 9'2
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