1981, 02-11 Permit: 81A-1368 GaragePLAN NUMB;0—" -
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. JO DDI f n
LOT BLOCK S DIVISION l
2. 13 IKA I
LEGAL DESCRIPTION - SEE ATTACHED
OWNER
3 AD DJ2 ES
I (20-
4.
CA C,T QR
PHONE
j5?- c7C 6
ZIP
PHONE
PARCEL NUMBER/S 1-3 ^ 1
Actual Set Backs in Feet
North +c) 'South
East 12. 'West
ADDRESS
ZIP
Size of Parcel Zo a lassificationn
O 2< I3 ,�Ir, wL
Sprinklered
❑Yes ❑No ❑ Req'd.
TypoConst.
ccupancy
Mi
DESIGNER
5. ADDRESS
PHONE
Valuation
Building Area in Sq. Ft.
ZIP
Main Floor
Upper Floors
Garage Area
Storage
CHANGE OF USE FROM
6.
TO
Area of Decks
Finished Basement
Unfin. Basement
TYPE
7. OF
WORK
❑NEW ❑ ALT. VAD N. ❑ RPL. 0 MVE.
IId BLD.
0 PLMB. 0 MECH. 0 M.H. 0 POOL
0 OTHER
No. Baths
No. Stories
No. Rooms
No. of Dwellings
CERTIFICATE
of EXEMPTION
Req'd.
Rec'd.
Not pit'.
DESCRIBE WORK
8. 7-1 j l0G `1 001\1(- 3 �c �'✓/
VAfON
9.
SOURCE
OF
UTILITIES
S
ELECTRIC
WDA TE R
Enum. Dist.
ILocation (Area)
SEWER
6
Ownership �j
Public ❑ Private L2
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 2 —9 _ ` SIGNATURE OF APPLICANT
SPECIAL APPROVALS
NAME DATE
Env �rllth
9
Fire Marshall
Co. Engineer
Utilities
Plans E miner _
SEI A Checklist
SPECIAL CONDITIONS:
1'0 ()Ad�-r
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 $
PERMIT N1,1111F
6'9
02*
*4400
*44.00
12941
02-09-81
6479
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
0 .2i V11
DATE ISSUEE5 PERMIT NO.
136,,85 *4400ae -
TOTAL