1981, 10-20 Permit: 81B-886 GaragePLAN NUMBER
APPLICATION /PERMIT
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456 -3675
1.
APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3 COPIES
JOB ADDRESS
. Sl( 15i54NN6NI
LEGAL DESCRIPTION - SEE ATTACHED
LOT
2. 15
OWNER
C ll�•
3
BLOCK
SUBDIVISION
VE4244 - Nb AcDo Tt
zz>Jcx: �N�IDG►6
ADDRESS
CJ all BANS"1 iZ )
PHONE
PARCEL NUMBER /S
23 -3 —c •23
ZIP
A tyal Set Backs in Feet
i
N h 1South'�.Z
t
East 1'1—, West 104:
4.
CONTRACTOR
Ccx.A,w am
ADDRESS
tv , )�• a—C 7 A .AGf
DESIGNER
5. ADDRESS
PHONE
GG3S'4o1(o
Size of Parcel
14O
Zone Classification
t tCa . (_-t ti n1
ZIP
Type Const.
Occupancy
(11-1
Sprinklered
❑Yes ❑NO ❑ Req'd.
PHONE
ZIP
Val tion
4%3
Main Floor
Building Area in Sq. Ft.
Upper Floors 1 Garage Area
-72.0
Storage
CHANGE OF USE FROM
6.
TO
Area of Decks
Finished Basement
Unfin. Basement
TYPE
7. OF
WORK
Er NEW ❑ ALT. ❑ AD N.
lM ,/ BLD. ❑ PLMB. ❑ MECH.
❑ RPL.
❑ M.H.
DESCRIBE WORK
8. I) ErrlAcjA 6 kwa&c
VALUATION
SOURCE
OF
UTILITIES
GAS
ELECTRIC
❑ MVE.
❑ POOL
C1-4.4C
❑ OTHER
No. Baths
No. Stories
No. Rooms
No. of Dwellings
CERTIFICATE
of EXEMPTION
Req'd.
Rec'd.
Not Req'd.
WATER SEWER
ePTics
Enum. Dist.
Ownership �/
Public ❑ Private []d
ILocation (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
DATE OF APPLICATION VO A ®- , SIGNATURE OF APPLICANT
Env:
SPECIAL APPROVALS
NAME DATE
D.2D
anning
Fire Marshall
Co. Engineer
Utilities
Plans Examiner
SEPA Checklist
Bing hnician
SPECIAL CONDITIONS:
�i►i4;��rj
454,-1 Ft t.G.
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
$ 50..30
PERMIT NtiiMBER-.
8— FA)
02* *5000
*50.00
*50.006
A *0.00
8852
10 -20 -81
2 6.479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
1 1 d,2;' Oi I.1,
DATE ISSUED
88.65
PERMIT NO.
*5aooRi--
TOTAL
1
Serving the Inland Empire
Ilan=
tede e0a4M tit‘..9 STEEL BUILDINGS, INC.
NORTH 1220 FANCHER WAY SPOKANE, WASHINGTON 99206 (509) 535-9016
GENERAL CONTRACTOR • LICENSED • BONDED • INSURED for your protection
(Lic. No. TO-WN-CS-B263S9)
Name rvt • K Fkl ocNz_
Address 'a) 0. i3ckl. r\e- iu VA .
City Cfo State
County Bp
Telephone C3
Representative
Source °need PO-srCe tS 235113 -067 23
,Lec3zif: L4-i5 5/k .2
I J E R A r,LLtI t-lic7 ,
I '
412:
r
k cf.