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1981, 06-02 Permit: 81A-5369 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 JOB DRESS 1. LOT 2. BLOCK SUBDIVISION &tDOkOt") P44100L1- 3 4. OWNER 4oNA pis ADD ESS CONTRACTOR PHONE ZIP ADD�ESS 718 1 ` NI� err DESIGNER `/f C(�J^ 5. ADDRESS CHANGE OF USE FROM 6. TO HONE 2--77 6 ZIP 9c7',v7 PHONE LEGAL DESCRIPTION - SEE ATTACHED PARCEL NUMBER/S Actual Set Backs in Feet North !South / East 'West Size of Parcel 7— x 1241 Ty-p�onst. ZIP Valuatio Main Floor Occupancy MI Zone Classificati ler Sprin ed ❑Yes ❑No ❑ Req'd. Building Area in Sq. Ft. 67 Upper Floors Garage Area Storage Area of Decks Finished Basement Unfin. Basement TYPE 7. OF WORK B�EW ElALT. LD. ❑ PLMB. dAD'N. ❑ MECH. ❑ RPL. ❑ M.H. ❑ MVE. ❑ POOL ❑ OTHER No. Baths No. Stories No. Rooms No. of Dwellings CERTIFICATE of EXEMPTION Req'd. DESCRIBE WORK 8. VALUATION 9. SOU RCE OF UTILITIES GAS Enum. Dist. I Location (Area) ELECTRIC WATER SEWER Ownership Public O Private SE CODE 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 per.. • • mot presume to give authority to violate or cancel the provisions of any other state or local law reg ating constructio or the performance of construction. SEE REVERSE SIDE FOR REQUIRED INSPECTIONS DATE OF APPLICATION /97 ( //�IGNATURE OF APPLICA SPECIAL APPROVALS NAME DATE v/ Health 2 /-7 (/0-6-45,. Marshall Co. n G/ Utilities ZgI ns Exa A C e list ding -ch ician SPECIAL CONDITIONS: — K) PERMIT IS NONTRANSFERABLE PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE Rec'd. Not Req'd. FEES COLLECTED Single Building Plumbing Mech. Plan Check SEPA Mobile Home Other (Specify) TOTAL $ PERMIT NUMBER 611-53GI 02* *5000 * 50,00 * 50.006 A *0.00 53682 06-02-81 z 6479, WHEN MACHINE VALIDATED IN THIS SPACE, THIS BECOMES A PERMIT. DATE ISSUED 536.9'Z *;5Q00 a TOTAL PERMIT NO. / PK' ut w1 4- oCV--� SPOKANE COUNTY HEALTH DISTRICT PERMIT NO E. O. PLOEGER, M. D., M.P.H., HEALTH OFFICER N. 819 Jefferson Street Spokane, Washington 99201 N9 09206 APPLICATION FOR PERMIT TO INSTALL OR RECONSTRUCT SEWAGE DISPOSAL FACILITIES G f� Name. 42-r�( rTi �t Address' J /� zs'trh�Y", _Phone No27- 14/ Address of Proposed Site (2 —L t Type of Use Is basement for building planned? Number of Bedrooms /% _Building Capacity_-______ _Camp Capacity tether Water Supply. �� - —" (City, Well, Spring). Drywell "7%'t) / Septic tank capacity_ (d 0 © gals. Style of tank____ Absorption Pits Length of disposal field_ 0 l_) __Leach Bed (1) Show relative location of: Proposed house. septic tank. disposal field, well. garage and other out buildings. (2) Make note of any heavy slope or swampy area or any q rl other important topographic details 14,1 Final Inspection Dat,- Remarks- CONTRACTOR at'Remarks• CONTRACTOR NJ Aw 340 AEYrFACTn For Spokane County Health District