1982, 04-19 Permit 82A-2952 Add to GaragePLAN NUMBER ,
APPLICATION/PERMIT
SPOKANE COUNTY - BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
JOADDRESS
LOT BLOCK
APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3 COPIES
13 1' k.
SUBDIVISION
COL
3. O 'AIY1`1V I4 iK 4J
ADDESS C, 6 I
C NTRACTO,
4. ADDRESS
ce- e-14
,-7153
LEGAL DESCRIPTION - SEE ATTACHED
PARCEL NUMBER/S % Cti 1--
Actual Set Backs in Feet
North ISouth
P(1ONE 1 Size of Parcel
I —7r,C> 100
ZIP
Typlanst.
O pfncY
(East
West t
Zone Classification
DESIGNER
5' ADDRESS
PHONE
ZIP
Valuation
2-00
Main Floor
Upper Floors
�I Sprinkler Ad
❑Yes ❑No ❑ Req'd.
Building,area in Sq. Ft.
70 c�
Gae Area
Storage
6.
CHANGE OF USE FROM
TO
Area of Decks
Finished Basement
Unfin. Basement
TYPE
7. OF
WORK
W b BLD.
❑ ALT.
O PLMB.
Pi/AD'N.
0 MECH.
❑ RPL.
0 M.H.
❑ MVE.
❑ POOL
0 OTHER
No. Baths
No. Stories
No. Rooms
No. of Dwellings
DESCRIBE WORK
VALUATION
9.
SUURCE
OF
UTILITIES
M7011 i0L
GAS ELECTRIC
WATER
SEWER
CERTIFICATE
of EXEMPTION
Enum. Dist. I Location (Area)
Ownership
Public ❑ Private
SE CODE
Req'd.
Rec'd.
Not Rec'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 INSPECTIIO
SIGNATURE OF APPLICANT s
DATE OF APPLICATION
SPECIAL APPROVALS
NAME DATE
Z—,q-8
v. Heath
P'a 1.0011
Fire Marshall
Co. Engineer
Utilities
s Exami
hecklist
Tec
SPECIAL CONDITIONS:
� ►� �� ir1g4_
PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
FEES COLLECTED
Single $
Building
Plumbing
,,Mech.
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL
$
6,1
II 1-(MI I ,:s: UIVI:-Gy 6I
:.Z Pt — 2 52,
02* *61,00
* 6100
* 61006
A *C00
293.1
04,-19-82
2 6479
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
DAT 0` 2
ISSU
295,2s'
*6L00°- -
PERMIT NO. TOTAL