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1981, 05-19 Permit: 81A-4888 Garage AdditionPLAN NUMBER 57/ y8/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 N q LOT m Va s BLOCK LEGAL DESCRIPTION - SEE ATTACHED SUBDIVISION OWNER �c2v_'J 21.01.L.) A1-1 ADDRESS N. Q23 Ft -L;4) PHONE GM -90(0T PARCELNUMBER/S LOT 4. Exc. 5.7r'2 r/>LI/cc, tePorTtmu tU i )541-12zA ZIP 99wL 4. 5. CONTRACTOR SAW}E PHONE ADDRESS SAME DESIGNER ZIP PHONE ADDRESS ZIP Actual � �JSet Backs in Feet - North tJ 1South TI East West l8b Size of Parcel ICU's( 3 i0 Zone Classification A6t Supu2Shti Occupancy Sprinklered M.. ❑Ves ❑No' 0 Req'd. Building Area i Sq. Ft. CICal Main Floor Upper Floors Garage/Area Storage acn I Type Const. 1 #5.110 CHANGE OF USE FROM 6. TO Area of Decks Finished Basement Unfin. Basement TYPE 7. OF WORK 0 NAW 'BLD. ❑ ALT. MJ AD N. 0 RPL. 0 MVE. 0 PLMB. . ❑ MECH. 0 M.H. 0 POOL 0 OTHER No. Baths No. Stories No. Rooms No. of Dwellings CERTIFICATE of EXEMPTION R eq'd. Rec'd. Not jt eq'd. DESCRIBE WORK 8. Anrn1DiI 'Ta VALUATION 9.115. 7q a ➢E<wcrt6n GI NOVAE. w1 5_ t8 RCE WATER SOV OF UTILITIES GAS ELECTRIC Enum. Dist. Location (Area) SEWER Ownership Public 0 Private USE CODE 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 5/ 1 (jigs SPECIAL APPROVALS NAME DATE Env. Health ,�4- g4P� 6/9/8/ Planning Fire Marshall Co. Engineer Utilities Planminer r I C tty)khst ' Bwl fTeef mcian , SIGNATURE OF APPLICANT 40 (44 ^� _Funto- U,ti SPECIAL CONDITIONS: PERMIT IS NONTRANSFERABLE PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE FEES COLLECTED Single $ Building Plumbing Mech. Plan Check SEPA Mobile Horne Other (Specify) TOTAL $ 56 .0-' PERMIT NLMBt b - V114 -' S$ 02* *5600 - *5600 rn 4869; 0'5'- 1 9 = 8 1 t 6479. WHEN MACHINE VALIDATED IN THIS SPACE, THIS BECOMES A PERMIT. 'OI�Sj .,tii'4 DATE ISSUED PERMIT NO. TOTAL I' , t 488.81,*'5�600aiJ-