1981, 10-20 Permit: 81B-0854 Garage11-'1_./.11N INUMUtK
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 ADDRESS
1.qg0 BLOCK o0.
firraf2iIUNIce
OWNER
AD I r is l 1 1,`Yr
- 92'01 6FWsr14At?
LEGAL DESCRIPTION — SEE ATTACHED
2.
3.
CONT. ACTOR
4.
1 �i1G Got'IL
ADM E55_ D
DESIGNER
5.
PHONE
2.2 -08+1
ZIP
9F72Ice
C4-- d?o4
PARCELNUMBER/S 17r¢z_ tLa
hr, r/L 6 �V I
pvi/L cr 5. 2-01'4E; � i�/L of oJ,3�o
Actual Set Backs in Feet
North (South
East IWest 5
Size of Parcel Zone Classification
c .7c. 21 o etc-, SU 16 •
Typei I Const.
IN{
Occtipincy
Sprinklered
❑Yes DNo 0 Req'O.
PHONE
Valuation I Building Area in Sq. Ft.
/'J 0 11 7‘,0
ADDRESS
ZIP
Main Floor
Upper Floors Garage Area
Storage96
CHANGE OF USE FROM
6.
TO
Area of Decks
Finished Basement
Unfin. Basement
TYPE
7. OF
WORK
leNJFW 0 ALT. 0 AD N.
LY BLD. 0 PLMB. 0 MECH.
O RPL. 0 MVE.
0 OTHER
O M.H. 0 POOL
No. Baths
No. Stories
No. Rooms
No. of Dwellings
CERTIFICATE
of EXEMPTION
Req,d.
Re
NOt lyte d.
8.
9.
DESCRIBE WORK
VALUATYON SOURCE GAS ELECTRIC
OF
JJTILITIES
Enum. Dist.
Location (Area)
WATER
SEWERS
"1 11�
Ownership
Public O Private
/USE CODE
I hereby certifyrthat 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 APPLICATIorcabs_ara SIGNATURE OF APPLICAN �7�" 1'fl er.Q
•
SPECIAL APPROVALS SPECIAL ONDITIONS:
-" NAME DATE
Envy-is/0th/4/Qg1-‘
f /O//t
Plannnii nngg
Fire Marshall
Co. Engineer
Utilities
Plans Exa finer
K& 1o,
SEPA Checklist
Tech ian 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)
V6.
TOTAL
$5&-
PERMIT 11 MBAR
Sie_ tB5
02* *'5600
* 5600
* 56006
A *000 0
84,82
1b=20-81
2 6479.
et
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
DATE'ISISUED
It a
81.1
8;542
PERMIT NO.
*56.'UOa�,
TOTAL
t.
4
�,. .J1&Na.t Jia
i�
1
i+a
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