1982, 09-02 Permit 82A-7774 GarageL7�1—BNEW 0 ALT. ❑ AD'N. ❑ RPL. ❑ MVE_
L'LD. ❑ PLMB. ❑ MECH. 0 M.H. 0 POOL
DE$CRI$E WORK
-1019
VALUATION SOURCE
OF
UTILITIES
Xz/9 ,;?/ I
APPLICATION/FERM1T
SPOKANE COUNTY —11-i tbING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3 COPIES
JOB ADDRESS /..:_,. ,,C/i 3 E {7
LOT BLOCK SUBDIVISION
OWNER
3. Pl . D. A. J cr . , t1
ADDRESS
tTRA R /1/J /',1014e3/
CON
ADDRESS
DESIGNER
5. ADDRESS
6.
PHONE
925147ir'//
ZIP
7 1G.'
PHONE
ZIP
LEGAL DESCRIPTION - SEE ATTACHED
PARCEL NUMBER/S p4.542.
S. -ZOO' E /65' of 5EUY of NLo 4 EXc iZRS.
Actual
North
Set Backs in Feet
'South
Size gox d
Typ}_Cgnst.
PHONE
Valuation
East .2 'Wes
Zgi-ie Classification
jam.
QcSup(ncy Sprinklered
fjv�1 ❑Yes ❑No ❑ Req'd.
Building Area in Sq. Ft.
CHANGE OF USE FROM
ZIP
Main Floor Upper Floors
Garage Area
Storage
TO
Area of Decks
Finished Basement
Unfin. Basement
TYPE
7. OF
WORK
8.
9.
GS ELECTRIC
WATE R
0 OTHER
SEWER
No. Baths
No. Stories
No. Rooms
No. of Dwellings
CERTIFICATE
of EXEMPTION
Enum. Dist. I Location (Area)
Ownership
Public ❑ Private ❑
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. E REV RSE SIDE FOR REQUIRED INSPECTIONS
��3o
USE CODE
B
DATE OF APPLICATION =tip. SIGNATURE OF APPLICANT
Req'd.
SPECIAL APPROVALS
NAME DATE
Env. Health
of
Planning
Fire Marshall
Co. Engineer
Utilities
Plans Examiner
SEPA Checklist
SPECIAL CONDITIONS:
Rec'd.
No
FEES COLLECTED
Single $
Building
Plumbing
Mech.
Plan Check
SEPA
Mobile Home
k,...41t..)EZ. $y Oth: r
.t:i)4 f•-•5?E c•-•ro(a-
PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
eci
TOTAL
eq'd.
t--
r
PERMIT NUMBER
02* *47.00
*47,006
A *0.00
7•77.32
09-02-82
g 6479,
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
09-02-82
DATE ISSUED
777,4z *47.00a_1
PERMIT NO. TOTAL