1981, 08-21 Permit: 81A-8445 GarageCY
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SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / 1509) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 -COPIES
JOBDDRESS
1. �. �Q=4'2-3 iVth4OJk)
LEGAL DESCRIPTION — SEE ATTACHED
2.
3.
4.
LOT
OW
BLOCK
SUBDIVISION MOSI VV
tint R-91/40 141— A i7 .
PHONE
lKki-w st-gvJA
2'r
PARCEL NUMBER'S
oSf772. — 0701
ADCRESS
CONTRACTOR
.
9
ZIP
99o7%
Actual Set Backs`in Feet
North `South
East 'West
cis1 .
PHONE
Size of Parcel
177x -73
ADDRESS
TVP? (1st.
OcgurancV
Zone Classification,
Rte- �i yam ri
Sprinklered
Dyes DNo 0 Req'd.
5.
DESIGNER
PHONE
V aluatio
ADDRESS
ZIP
Main loot
Building Area in Sq. Ft.
g
— I
Upper Floors ( Garage Area
�3z
Storage
CHANGE OF USE FROM
6.
TO
Area of Decks
Finished Basement
Unfin. Basement
7.
TYPE
OF
WORK
121 NEW 0 ALT.
BLD. 0 PLMB.
O AD N.
O MECH.
❑ RPL.
❑ M.H.
❑ MVE.
❑ POOL
0 OTHER
No. Baths
No. Stories
No. Rooms
No. of Dwellings
CERTIFICATE
of EXEMPTION
Req'd.
Rec'd.
Not_ R�'d.
8.
DESCRIBE
WO R
i2v. -e<
G
VALUATION
9.
SOURCE
OF
UTILITIES
GAS
e" ( Zfo X32•)
WATER
ELECTRIC
Enum. Dist.
Location (Area)
SEWER.�
K4 IIC-z
Ownership
Public 0 Private
USE 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 o a permit does not presume
to give authority to violate or cancel the provisions of any other state or local law regulating cfnstruction or the
performance of construction. SEE REVERSE SIDE FOR REQUIRED INSPECT I� Sit
SIGNATURE OFT 61tAt-
0
DATE OF APPLICATION
E
Planning
Fire Marshall
Co. Engineer
Utilities
SPECIAL APPROVALS
NA:1E DATE
SEP•
SPECIAL CONDITIONS:
& <bC (L— ik Z eV) 2/4152'
Cirsda
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
o
02* *5000
*5000
*50006
A *000
844.32
08-21-81
2 6479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
;0�18C�2il�;a�81' 8'445•
4
DATE ISSUED PERMIT NO.
.,5A00.a0-
TOTAL