HomeMy WebLinkAbout1982, 04-13 Permit 82A-2734 GaragePLAN NUMBER
APPLICATION/PERMIT
SPOKANE COUNTY - BUILDING CODES DEPARTMENT
NUMBER
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3 COPIES
JOB ADDRESS
1. . 1 7 ° J OAK
LOT
2.
SUBDIVISION
RAI" (IQ tic - i R - l l 5'f•
3. OWNERS 014
I,7o - it\101l
4.
ADDR
CONTRA
ADDRESS
,1ONE
).12s .jariC)
PHONE
ZIP
LEGAL DESCRIPTION - SEE ATTACHED
PARCEL NUMBER/S I I� r I2I-47 (P" /N r)
I0�1 or Fj- �,� Or N !1 N
Actual Set Backs in Feet
North !South
Size of Parcel
Tygeonst.
OccUpfncy
East (West 14—
Zonp Classification
ili1'C'
Sprinklered
❑yes ❑No ❑ Req'd.
DESIGNER
5. ADDRESS
PHONE
Valuat
(Building Area in Sq. Ft.
ZIP
Main Floor
Upper
CHANGE OF USE FROM
6.
TYPE
7. OF
WORK
TO
DEW ❑ ALT. LrJ AD N. ❑ RPL. ❑ MVE.
( 8LD. ❑ PLMB. ❑ MECH. ❑ M.H. ❑ POOL
❑ OTHER
Area of Decks
No. Baths
Floors Garage Area
Finished Base ment
No. Stories
No. Rooms
Storage
Unfin. Basement
No. of Dwellings
CERTIFICATE
of EXEMPTION
Req'd.
Rec'd.
Not Red.
D
8.
WO R �C
4
VALUATION
9.
SOURCE
OF
UTILITIES
GAS
ELECTRIC
WATER
SEWER
Enum. Dist.
Location (Area)
Ownership /USE CODE
Public CI Private t7✓
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
SPECIAL APPROVALS
NAME DATE
Env. Health
i -r3-�a t/a,eno
Planning
Fire Marshall
Co. Engineer
Utilities
SIGNATURE OF APPLICANT
SPECIAL CONDITIONS:
PERMIT IS NONTRANSFERABLE
r
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
FEES COLLECTED
Single $
Building
Plumbing
Mech.
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL $ &71
02* *61,00
*61.00
*61.006
A *0.00
2'7332
04-13-82
2 6479•
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
i,� I
04 151'-82
2 7 'A' 4 g
DATE ISSUED PERMIT NO.
*61OQ
TOTAL
BLOCK
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