1981, 05-04 Permit: 81A-4278 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.
LOT
2.
S k22D 3es1
LEGAL DESCRIPTION — SEE ATTACHED
BLOCK
3
SUBDIVISION
Jut, t•1{=rs Ao3rit)A1
3.
OWNER
YL Leka
PHONE
G24 -542D
PARCEL NUMBER/S
2354-3--3to3
ADDRESS
6. 122v "`2LJc'S i
ZIP
Q‘Iv31
Actual Set Backs In Feet
North 5� 'South
East >S 'West
4.
CONTRACTOR
R.GN Lt_) A22�c_ N
PHONE
4443- ig3E,
Size of Parcel
4cx t4►
Zone Classification
ADDRESS
4a1 LAL 4 "7aKr4t
ZIP
art ZG3
T
—
y
pe
�C�onst.
CU
Occupancy
SAIL; LE fvomtL�+
Sprinklered
❑Yes ❑No ❑ Req'd.
DESIGNER
5. ADDRESS
CHANGE OF USE FROM
6.
TO
PHONE
ZIP
yaluatloon2/TY.,
Building Area In Sq. Ft.
Main Floor
Upper Floors 1 Garage Area
Storage
Area of Decks
Finished Basement
Unfin_ Basement
TYPE
7. OF
WORK
LuJ(NEW ❑ ALT. ❑ AD'N.
C'J BLD. ❑ PLMB. 0 MECH.
❑ RPL.
O M.H.
DESCRIBE WORK
8. . t71rT (112k9.1Th WiSL415
❑ MVE.
O POOL
L IU\XZ4')
0 OTHER
No. Baths
No. Stories
No. Rooms
No. of Dwellings
CERTIFICATE
of EXEMPTION
Req'd.
Recd.
Not Req'd.
Enum. Dist.
Location (Area)
VALUATION
9?2,13io
SOURCE
OF
UTILITIES
GAS
ELECTRIC
WATER
SEWER
SEPTt�
Ownership
Public 0 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 INSPECTI•' `
DATE OF APPLICATION SIGNATURE OF APPLICA r 1�
SPECIAL APPROVALS PECIAL CONDITIONS:
NAME DATE
WI' 5/
Fire Marshall
Co. Engineer
Utilities
Plans Examiner
/Jar Qtao.
SEPA Checklist
echnlcian
1 hRR.SE•P &rcbr•1 *Zeitd
U.) ML 14,D1 A f Grt;T iL. V...temD etuCL
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
$ SS. oo
PERMIT NLfrMBETd `-1
StA
* 3800
* 3800
* 38006
A *000 g
427,7
05-04-81
2 6479
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
.0151+ 8' 4'
DATE ISSUED PERMIT NO.
427.8i *3880
4 ►J-
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