1982, 08-02 Permit 82A-6640 GaragePLAN NUMBER
APPLICATION/PERMIT
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
PERM!' JA^Bi R
(624 4605
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
JOB ADDRESS
1. LOT I3LOCK
2.
SUBDIVISION
a (FOR �L�� ► "��i
OWNER 'i
3. —R m r't5L.'r,
AADDQREAS¢ ;z 0Yk)L101\y
C�TyR�T OR
RES 4.
l
DESIGN R
ADDRESS
CHANGE OF USE FROM TO
5.
6.
HO €
PHONE
R102-3
LEGAL DESCRIPTION — SEE ATTACHED
PARCEL NUMBER/S 091 f - - 2,0
15 - I f O' er
Actual Set Backs in Feet
North ISouth'r,%
Size of Parcel l
TYpe,fsopst. O ijancy
East 'West r}
Zone Classification
Sprinklered
Oyes ❑No 0 Req'd.
Building Area in Sq. Ft.
ZIP
Valuatlo
- f7-'a
Main Floor
Upper Floors
Area of Decks
Finished
��a
Storage
Basement Unfin. Basement
7.
TYPE
OF
WORK
Ifr;IEW ❑ ALT. ❑ AD'N.
L'J BLD. 0 PLMB. 0 MECH.
❑ RPL.
❑ M.H.
❑ MVE.
❑ POOL
0 OTHER
No. Baths
No. Stories
No. Rooms
No. of Dwellings
CERTIFICATE
of EXEMPTION
Req'd. Rec'd.
DESCRIBE WORK
8.
VALUAT ON SOURCE GAS ELEC IC WATER
OF
9. UTILITIES
SEWER
Enum. Dist.
Ownership
Public ❑ Private
Location (Area)
//USE CODE
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
SIGNATURE OF APPLICANT
DATE OF APPLICATION
SPECIAL APPROVALS
NAME DATE
Env. Heal
,..„,
Planning
Fire Marshall
Plans Exa iner
01,4 ICJ M 110.
SEPA Checklist
SPECIAL CONDITIONS:
1
(l cedic iJJ 1iQ ACCQ�S kr\ux 0wo.ty_
vc e. exk �r2 (,st,ack , v
eq'd.
FEES COLLECTED
Single
Building
Plumbing
Mech.
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL $
02* *61,00
*61,006
A *000 El
65232
07-28-82
6,479,
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
0
O
w
—J
LL
PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
0:.8 40'2 81t2'
DATE ISSUED
6640a. *61.00
PERMIT NO. TOTA
20
24'
50
ex/ sr/ ,
Hot/ SE
70
40
2 SCI
soAce ; / i= 30'
/GO
0
L/AJ/oiv 'ST,eCET
L i4 I&SCa/PT/UA/.. /?4 cEt
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OPPOaT[JN1TY V/, /50CXG; S.`I/0
of Btx, s4