1982, 05-17 Permit 82A-3717 GaragePLAN NUMBER
APPLICATION/PERMIT
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
PERMIT ;UMBER
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3 COPIES
JOB ADDRESS QQ LAN
LOT BLOCK SUBDIVISICrN��
OWNER
ADDRESS c 60.a. hA �J
CONTRAC OR
4. r}okiKi c -pt_37 C1L),}2q 1 ,.; �y (
ADQRESS�•�, G7 AW�-'1 _ L -V I`% . r `BLS;
DESIGNER
ADDRESS
CHANGE OF USE FROM
6.
TYPE
7, OF
WORK
TO
PHONE
ZIP
PHONE
PHONE
ZIP
11'NEW 0 ALT. 0 AD N. 0 RPL. ❑ MVE.
'BLD. ❑ PLMB. 0 MECH. 0 M.H. 0 POOL
❑ OTHER
LEGAL DESCRIPTION - SEE ATTACHED
PARCEL NUMBER/S
Lt
Actual Set Backs in Feet,
North South I2 East J
Size of Parcel
7,x 2--7
Typ¢ilonst. O cr pancy
Valuation
Main Flo•r
Upper Floors
Zo/ij1�a C'plassification
Sprinklered
❑Yes ❑No 0 Req'd.
Building Area In Sq. Ft.
Garage Area
22 7-"
Storage
Area of Decks
Finished Basement Unfin. Basement
No. Baths I No. Stories
No.^Rooms INo. of Dwellings
CERTIFICATE
of EXEMPTION
Req'd. Rec'd.
Not Req'd.
DESCRIBE WORK
VALUATION
9.
SOURCE
OF
UTILITIES
G•S
6 W
ELEC RIC
WATER
SEWER
rG
Enum. Dist.
Location (Area)
Ownership SE CODE
Public ❑ Private l
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 ‘--67=s ?-
SIGNATURE OF APPLICANT
SPECIAL APPROVALS
NAME DATE
Env. Health
13-aLT, o
tinning
Fire Marshall
o. ngineer
a'( (K&p10
Utilities
Plans Examiner
Ft. 5 0 -II,
SEPA Checklist
Build' ech 400
SPECIAL CONDITIONS:
PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
FEES COLLECTED
Single $
Building a 2--
Plumbing
Mech.
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL $
02y *82,00
*82.00
*82,008
A *0.00
349.1.E
0'5-05a-82
z 6479
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
0;hrid..°31 3i 3!7117 Z * 8 2 0Y0 a.; -
DATE ISSUED PERMIT NO. TOTAL