1981, 03-11 Permit: 81A-2318 GaragePLAN NUMBER
—1 3/Y/el
(VJ
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
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LEGAL DESCRIPTION — SEE ATTACHED
LCT
17
OWNER
LI. i LL 1 A U . uJ1 L.uE.tm
BLOCK
4
SUBDIVISION -
1/ rtI LU%u 0 EAc, 1
//PH�ONE
PARCEL NUMBER/S
O(', S4 -OS. Lei
ADDRESS
E. ISLA
CONTRACTOR
ADDRESS
Strl It
`SRI ()GEAR;
ZIP
461ZIC
Actual Set Backs in Feet
North (, South
East 1-0 West
PHONE
Size of Parcel
q2 11':
ZIP
Type Const.
Occupancy
Zone Classification
K��. ti1ot✓t�_r i�c;�IF_
Sprinklered
❑Yes 0 N ❑ Req'd.
DESIGNER
5' ADDRESS
PHONE
Valu tion
I1L0QG
Building Area in Sq. Ft.
.0
ZIP
Main Floor
Upper Garage Area
Storage
CHANGE OF USE FROM
6.
TYPE
7. OF
WORK
TO
Area of Decks
Finished Basement
Unfin. Basement
ttl NEW
RJ BLD.
DESCRIBE WORK
❑ ALT.
❑ PLMB.
❑ AD'N.
❑ MECH.
❑ RPL.
❑ M.H.
❑ MVE.
O POOL
0 OTHER
No. Baths
No‘
Stories
No. Rooms
No. of Dwellings
CERTIFICATE
of EXEMPTION
Req'd.
Rec'd.
Not Req'd.
d
8. `^u-riY_i1rc) G; faAhE Va.) tilt `_:ll&
Enum. Dist.
ILocation (Area)
VALUATION
91 llogb
SOURCE
OF
UTILITIES
GAS
ELECTRIC
WATER
SEWER
.SE?TLL
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
SIGNATURE OF APPLICANT f"f/1'I4. �'Y��i1(G���✓�
SPECIAL APPROVALS
NAME DATE
En ,
Plan ing
Fire Marshall
Co. Engineer
rC,itt'(.).
Utilities
Plans Examiner
SEPA Checklist
Building T nician
SPECIAL CONDITIONS:
(Y1P L -re
PERMIT IS NONTRANSFERABLE
FEES COLLECTED
Single $
Building 42S -et)
Plumbing
Mech.
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL $ `00
PERMIT NUMBER
00
2200 'cit
*000
213.7.f:
05-06-P1
6479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
0,j: -Ii}' 8,11
2318'5 *28.002 -
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL
qZ ,1 4
C.1.ket4c
20
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