1981, 09-18 Permit: 81A-9548 GaragePLAN NUMBER
APPLICATION /PERMIT
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456 -3675
APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3 COPIES
JOB ADDRESS
1. E • -l�'1t4. A��;,v�`�'C�
LEGAL DESCRIPTION - SEE ATTACHED
LOT
2.
BLOCK
SUBDIVISION
OWNER
3. DC) INJ c:[c ` /v
ADDRESS
G. 1eitG; A■ itstA
CONTRACTOR
4. .2 I�EmC� "ma c rti
ADDRESS
E. • a :0G-, ALAc
PHONE
PARCEL NUMBER /S ��ti-r�i El�s{� 110,a-2.44.
;NJ,. Lt., 75' rBuc. t Z.
6-7541 - ti 3c1
�
ZI P
}//,,
Actual Set Backs in Feet
3l
North ,r' 'South
1
East
(West
PHONE
- :LSct:"
Size of Parcel
751( L
Zone Classification
G , S..t 3kA R.ac,N
Type Const.
Occupancy
311,11. -I
Sprinklered
Oyes ❑No ❑ Req'd.
DESIGNER
J. ADDRESS
PHONE
V at
4ion
' 044
Building Area in Sq. Ft.
3 L4-
ZI P
Main Floor
Upper Floors 1 Garage Area
3�4
Storage
CHANGE OF USE FROM
6.
TO
Area of Decks
Finished Basement
Unfin. Basement
TYPE
7. OF
WORK
CJJVEW
BLD.
❑ ALT.
❑ PLMB.
VI/AD N.
❑ MECH.
❑ RPL.
❑ M.H.
❑ MVE.
❑ POOL
❑ OTHER
No. Baths
No. Stories
No. Rooms
No. of Dwellings
CERTIFICATE
of EXEMPTION
Req'd.
Rec'd.
Not egq'd.
DESCRIBE WORK
8. AiTOtC..t- -Cc L v e..1 E-
Enum. Dist. I Location (Area)
VALUATION
4
SOURCE
OF
UTILITIES
GAS
ELECTRIC
WATER
SEWER
Ownership
Public ❑ Private ❑
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
DATE OF APPLICATION\
SIGNATURE OF APPLICArj
SPECIAL APPROVALS
NAME DATE
Env. Health
Planning 1/ (kIcY
Fire Marshall
Co. Engineer
Utilities
PI ns aminer
C cklist
SPECIAL CONDITIONS:
PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
FEES COLLECTED
Single ` $
Building *-52, 00
Plumbing
Mech.
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL $ OC
PERMIT NI'r +ur-D
etA'�( -�
02* *32,00
* 3200 N
* 32006
A *000
951,72
09 -18 -81
z 6479,
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
"1) 9i41 Fti 8`1.
DATE ISSUED PERMIT NO. TOTAL_
95482 *3200
A ti5u,sfA
614016E ADDiri6A1 FGQ
DON RG3F1256A1
747/6 attadishi
SPLk4NE.. LJM QQ2b
OD"
•
5