1982, 09-09 Permit 82A-8058 GaragePLAN NUMBER
APPLICATION/PERMIT
SPOKANE COUNTY - BUILDING CODES DEPARTMENT
PERMIT NUMBER
Z-A- /►7
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
JOB ADDR
LOT B OCK SUBDIVISION
1 c >tJ 13
OWNER
3 ADDRESS
61-4 ��
PHONE
4' ADDRESS
CONT A TAR
6.
DESIGNER
ADDRESS
CHANGE OF USE FROM
TYPE
7, OF
WORK
TO
1J LW 0 ALT. 0 AD'N.
I BLD. 0 PLMB. ❑ MECH.
❑ RPL.
❑ M.H.
15-&,)
PHONE °
ZIP
PHONE
ZIP
❑ MVE.
O POOL
❑ OTHER
LEGAL DESCRIPTION — SEE ATTACHED
PARCEL NUMBER/S
Actual Set
Backs In Feet
North �`� 'South
Size, Qf Parcel,
01--r
T �pf C nst O cr pancy
V �1
Valuatio
East I � (West
Z•ne Classification
511,1
• Sprinklered
Dyes ❑No ❑ Req'd.
Building Area In Sq. Ft.
Main Floor
Upper Floors Garage Area
7Z0
Area of Decks I Finished Basement
No. Baths I No. Stories
Storage
Unfin. Basement
No. Rooms INo. of Dwellings
i
CERTIFICATE
of EXEMPTION
Req'd. Rec'd. No
DE RIBAEr1CWOR_ _ A
VALUATION
9.
OURCE
OF
UTILITIES
GAS
ELECTRIC
WATER
SEWER
Enum. Dist, Location (Area)
Ownership
Public 0 Private
4
SE 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
DATE OF APPLICATION / Cf'
/e/ SIGNATURE OF APPLICANT
SPECIAL APPROVALS
NAME DATE
Env. Health
Planning
Fire Marshall
Co. Engineer
Utilities
s Ex
SEPCheck-lis
ding Tec
CI
SPECIAL CONDITIONS:
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 $ I
02* *61,00
*61,006
A *0.00
805.7Q
09-09-82
z 6.479,
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
,9 '0-' 0,: 8 2
DATE ISSUED
805:8.g
PERMIT NO.
'* 61.O�OAl2
32
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