1981, 06-02 Permit: 81A-5352 Garage AdditionPLAN 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
N•-
JOB ADDRESS
1�
LOT
BLOCK SUBDIVISION
re 't'L 11\1
3
OW R
ADDRESS
CONT�g' CT R_
ADDRESS
DESIGNER
ADDRESS
6.
CHANGE
OF USE FROM
TYPE
7. OF
WORK
PHONE
0 1.924-
Z/
PHONE ,
LEGAL DESCRIPTION - SEE ATTACHED
PARCEL NUMBER/S I M! / — 42t
/ 1
Actual Set Backs in Fe t(r
North (South `P East
ZIP
PHONE
ZIP
TO
❑ W ❑ ALT. g/AD'N.
BLD. ❑ PLMB. ❑ MECH.
❑ RPL.
❑ M.H.
❑ MVE.
❑ POOL
❑ OTHER
8.
9.
DESCRIBE WORK
1A16\ 'C01-1
VALUATION
77�lj�IjSSOOURCE GAS ELECTRIC
OF
UTILITIES
WATER
Size of Parcel
3?- 2 I �
p Ct� onst. Oc up
t�N �
West
Zon Classificati n
/P,c
Ty
ancY
Valu tion
Main Floor
Upper Floors
Area of Decks
No. Baths
Sprinl�lered
❑Yes ❑No ❑ Req'd.
Building Area in Sq. Ft.
Garage Area
Finished Basement
Storage
Unfin. Basement
No. Stories
CERTIFICATE
of EXEMPTION
No. Rooms
No. of Dwellings
Enum. Dist. I Location (Area)
Req'd.
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 lawregulatinconstruction or the
performance of construction. SEE REVERSE SIDE FOR REQUIRED INSPECT(
DATE OF APPLICATION --'/' ( I SIGNATURE OF APPLICANT
SPECIAL APPROVALS
NAME DATE
:;i;24'
se -5/2Q‘
Fire Marshall
Co. Engineer
Utilities
SPECIAL CONDITIONS:
PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
Recd.
Not
FEES COLLECTED
Single
Building
Plumbing
Mech.
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL $
PERMIT N''2..1BEr
gtk
02* *23.00
*2300
*23,006
A *0.00
521.9
05-29-8.1
7,7 6479,
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
Y
DATE ISSUED
PERMIT NO. TOTAL
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