1981, 09-17 Permit: 81A-9473 GarageAPPLICATION/PERMIT
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
U v APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3 -COPIES
JOB A DRESS
S LEGAL DESCRIPTION - SEE ATTACHED
LOT BLOCK [SUBDIVISION PA CEL NUMBER/S �-� ^7
3. 0�...+, M "Kb� ��d ��� PHONE e -3p
AD RESS Z P Actual Set Backs in Feet
North South7i'- East West
PER
9A -TZ2
02* *38.00
*3900
*38,006
A *0.00
CONTRACTOJZ
PHONE
Size of Parcel
Zo a Classification
L ti3-
107 X 3
,►Lid , 5
9 4 7,.0 z
4' ADDRESS
ZIP
TyD`�)/C nst.
r�
I O c p ncy
Sprinklered
❑Yes ❑No ElReq'd
0 9 1 7 -`8 1
DESIGNER
PHONE
Valuation
Building Area in Sq. Ft.
Z 6479.
V
5'
ADDRESS
ZIP
Main Floor
UOpper Floors
Ga a Area
Storage
_
CHANGE OF USE FROM
TO
Area of Decks
Finished Basement
Unfin. Basement
6.
I
No. Baths
No. Stories
No. Rooms
No. of Dwellings
TYPE 1-1 NEW 1-1 ALT. AD'N. ❑ RPL. F-1 MVE.
I
7, OF_/ 1-1OTHER
6/ BLD. ❑ PLMB. ❑ MECH. ❑ W.H. ❑ POOL
CERTIFICATE
Req'd.
Rec'd.
Pee
Not Re d.
WORK
of EXEMPTION
I
DESCRIBE WORK
y I �� ���
Enum. Dist. Location (Area)
FEES COLLECTED
'rte
& v� vIV
8"TILITIE
VURCE
GAS
EL CTRIC
WATER
SEWER
Ownership SE CODE
9,OS
5;
Public ❑Private
Single $
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
Building
_
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
egulating construction or the
performance of construction. SEE REVERSE SIDE FOR REQUIRED INSPECTIO
Plumbing
<iI/DATE /X'
Mech.
OF APPLICATION SIGNATURE OF APPLICAN
SPECIAL APPROVALS
SPECIAL CONDITIONS:
NAME DATE
Plan Check
Env. Healltthg,�,
,� f
.�6 1
SEPA
Planning
Mobile Home
Fire Marshall
Co��ineer
T ie -
Other (Specify)
Utilities
-
TOTAL $
Plans Examiner
'tW1 V,
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist
THIS BECOMES A PERMIT.
Bui echnfrian
PERMIT IS NONTRANSFERABLE
0 �9 11 }�
'j,=� ,; ll 7�8
7
�_�
PERMIT EXPIRES.ONE YEAR FROM DATE OF ISSUANCE
DATE ISSUED
PERMIT NO. TOTAL
op-