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-