1981, 08-13 Permit: 81A-8069 Garage(PLAN 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
1.
2.
3.
JOB ADDRESS
LOT
BLO
4 o4 1✓ueI c Q 'J
UBDI ISION
LEGAL DESCRIPTION — SEE ATTACHED
ler e_r_ex rR-\a ws Uze,
OWNER
ADDRESS ��/
.'� Sl1'iti1
PHONE
CZE -4
PARCEL NUMBER/S
35(e.,43-000 _
Z II P
CS
Actual Set Backs in Feet
North 0— 'South
i
East West 30
4.
CONTRACTOR
w
PHONE
Size of Parcel Zone Classification
ADDRESS
SAME
ZIP
�'7 X 2 O 1 &Q.tu1C_'rl,LQ04.
Type Const.
Occupancy
01-1
Sprinklered
❑Yes ❑No 0 Req'd.
5.
DESIGNER
PHONE
ADDRESS
ZIP
Valu ion Building Area in Sq. Ft.
3,'3SSZ.
CHANGE OF USE FROM
6.
TO
Main Floor Upper Floors Garage Area
55
Area of Decks Finished Basement
Storage
Unfin. Basement
TYPE
7. OF
WORK
Ll/ NEW
LJ BLD.
❑ ALT.
❑ PLMB.
dAD'N.
0 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 geq'd.
DESCRIBE WORK
8. ktAc efX:
VALUATION
SOURCE
OF
UTILITIES
GAS
ELECTRIC
Z�xa4
WATER
Enum. Dist.
ILocation (Area)
SEWER
tL
Ownership USE CODE
Public 0 Private
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 Y V // "Cl / SIGNATURE OF APPLICANT,
SPECIAL APPROVALS
NAME DATE
eaith
Planning
Fire Marshall
Co. Engineer
¥T
om. ,`D
Utilities
917/ mer i� �jj/°—
eckljs � /�✓
Idi echnicia
SPECIAL CONDITIONS:
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
$ 44.a)
PERMIT NU{�AFssER
t% — BoGq
02* *44.00
* 4400
* 44.006
A *000
7999
081-10-81
2 6479,
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
jj
I
DATE ISSUED PERMIT NO.
80692
*440OEl! F-1 —
TOTAL
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