1981, 12-28 Permit: 81B-3015 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
1.
2.
3
4.
JOB ADDRESS 15 SDi1piR
LOT BLOCK VOFVpISIyON
ct_T-gN xIV \I1eA4 Hn.II SLJwDI/
LEGAL DESCRIPTION — SEE ATTACHED
5.
[,irk.I/rrip P6 Ft
ADDRESS
7IOj I ot
l-
c°N1TRI -T. MAXI •
ArEESSSrr(007
Nd11si
DESIGNER
PHONE
92 --220
PARCEL NUMBER/5 2 1 54 3 ,^ 100G
3z5E 353
Actual Sln
Set Backs in Feet
North 1 Iso th East 50 (West
Size of Pa cel ZOlie Classification
5
Typ9,Const.
Ocgµpancy
Sprinklered
❑Yes ❑No 0 Req'd.
PHONE
Valuation
2-3 0
Building Area in Sq. Ft.
r,7 Co
ADDRESS
ZIP
Main Floor
Upper Floors
G age.974.9
Area
Storage
CHANGE OF USE FROM
6.
TO
Area of Decks
Finished Basement .
Unfin. Basement
TYPE
7. OF
WORK
Ercr 0 ALT. 0 AD N.
LJ BLD. 0 PLMB. 0 MECH.
❑ RPL.
0 M.H.
❑ MVE.
❑ POOL
0 OTHER
No. Baths
No. Stories
No. Rooms
No. of Dwellings
CERTIFICATE
of EXEMPTION
Req'd.
Rec'd.
Not q'd.
8.
9.
DESCA OR
V ALUATI N
2
R�y`� WATER i4'o
SOURCE GAS SEWER
OF
��j�
UTILITIES ✓T/rI I'
Enum. Dist.
Location (Area)
Ownership
Public 0 Private
/tSE CODE
I hereby certify that 1 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./ Z — 24'7 91
SIGNATURE OF APPLICAN
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE
EIth
�� t I/
Planning
Fire Marshall
C• nglneer
Utilities
PiaPlarsis Examiner
SEPA Checklist
PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
FEES COLLECTED
Single $
v7 g
Building
Plumbing
Mech.
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL
PERMI4Nur1BER
ate o
02* *3809
*380% t
*38006
A *000 0
299,4'2
12-28.-81
2 6479.
WHEN
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
5 •"
DATE ISSUED
3' 0.L 'S z'
PERMIT NO.
TOTAL
Y
0 -