1981, 07-28 Permit: 81A-7559 GaragePLAN NUMBER
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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
LOT
2.
Nei 150 3 s►e
BLOCK
SUBDIVISION
LEGAL DESCRIPTION - SEE ATTACHED
OWNER
3. t4 PAL.t SSEJJ
ADDRESS
N . 15G1
PHONE
PARCEL NUMBER/S N. g0 Cite �.. tom• �jr �. yZ
awry .t 2 �Lx 4 riu'rattik `z,V'y 1400.
tY�541-t7&M-
ZIP
Actual Set Backs in Feet I
North 'South D
4.
CONTRACTOR
ADDRESS
N V115 VI4.1'-T
PHONE
CtZta
Size of Parcel
ox LLt0
Zone11 �r Classification
riL-rQtC ALS U2at._
East 'West
ZIP
CACAz
Type Const.
Occupancy
Ai -1/Q3
Sprinklered
❑Yes ❑No 0 Req'd.
5.
DESIGNER
PHONE
Valuagion
6iS� 3: J�O
Building
�Area
in Sq. Ft.
_7 D
ADDRESS
ZIP
Main Floor
Upper Floors
Garage Area
Storage
CHANGE OF USE FROM
6.
TO
Area of Decks I Finished Basement
Unf in. Basement
TYPE
7. OF
WORK
riNEW 0 ALT.
E BLD. 0 PLMB.
U AD'N.
0 MECH.
❑ RPL.
❑ M.H.
❑ MVE.
❑ POOL
0 OTHER
No- Baths
No. Stories
No. Rooms
No. of Dwellings
}
CERTIFICATE
of EXEMPTION
Req'd.
Recd.
Not 6teq'd.
DESCRIBE WORK
8. A; -r c, G,A2okr:,E
Ai VALUATION SOURCE
y. 3�5i3::�J UTILITIES
OF
GAS
I?rd ZG
ELECTRIC I WATER
Enum. Dist,
Location (Area)
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
i7 l SIGNATURE OF APPLICANir�Ll�
SPECI4,L APPROVALS SPECIAL CONDITIONS:
NAME DATE
Fire Marshall
Co. Engineer
Not RtD
Utilities
Plans E iner
4.
Building Technician
-3°PV ,v�
�ac5i.�3� Pn-►pier
G,%r ► .,E ?LA.) OAf Dt2tGtA/Al_ fol « Ak)
PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
FEES COLLECTED
Single
Building
Plumbing
Mech.
Plan Check
SEPA
Mobile Horne
Other (Specify)
$
*44• cio
TOTAL
00
PER Mr; NUltte�-R
SIA -1559
02* *4400
* 4400
* 44006
A *000
75582
07=28-81
B 6479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
DATE ISSUED
75i9z *
PERMIT NO.
40:0 (c13.1='•
7o m
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4t,
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