1981, 09-09 Permit: 81A-9088 GarageJOB ADDRESS
1. �J
LOT
BLO I
2.
I
OWNER
3. "' 1- ,
ADDRESS
i 1 � erIS
CONTRACTOR
,�fam6
4.
ADDRESS
S�IM�
DESIGNER
5. ADDRESS
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
LEGAL DESCRIPTION - SEE ATTACHED
N PARCEL NUMBER/S N. I-).6jy or- LXrr3 45. Gy2,12'71y�
'
OF Lw I. bL.V-1 BAit-imbiL 1AP-i6tAY5
PHONE
res G �L�-'iO3a 2i54-4- itoke
ZIP Actual Set Backs in Feet
CHANGE OF USE FROM
6.
v1-1 j-(Dse
North ISouth
East West :30
PHONE
Size of Parcel
&C 141
Zone Classification
AC, . 4 ae Ar.i
ZIP
Type Const.
�j-
Occupancy
Sprinklered
[Dyes ❑No ❑ Req'd.
PHONE
Vacation
Building Area in Sq. Ft.
ZIP
Main Floor
Upper Floors
Garage Area
O
Storage
Area of Decks
Finished Basement
Unfin. Basement
TYPE �J No. Baths No. Stories No. Rooms No. of Dwellings
LVJ NEW ❑ ALT. ❑ AD -N. ❑ RPL. ❑ MVE,i
_/ I I
7, OF 1-1OTHER
WORK_ Ly BLD. ❑ PLMB. ❑ MECH. ❑ M. H. ❑ POOL CERTIFICATE Req'd. I Recd.Not R�q'd.
of EXEMPTION V/
DESCRIBE WORK Enum. Dist. Location (Area)
(ZA ► 4� FEES COLLECTED
VALUATION1 SOURCE GAS ELECTRIC WATER SEWER
OF Ownership USE CODE
9� UTILITIES 1 1 1 SePirtL Public ❑Private
Single $
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 Building 4,too
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 Plumbing
VDATE OF APPLICATION SIGNATURE OF APPLICANT Mech.
SPECIAL APPROVA
NAME DATE
5.
Marshall
ngineer
�-r R ,�
ies
SPECIAL CONDITIONS:
Py r' -1, �F+ tn► tt E� O ;Pe rely M-Tr#K-+4 QP
/Examine�r
Id7 ,A �5er: ilrrfA
Buildin Technician PERMIT IS NONTRANSFERABLE
F, PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
Plan Check
PERMIT N!JMBER .
SIA -400'0
02* *4 00
*4&00
H *000
908.72
09-09-81
2 6479.
SEPAI n
C
c
Mobile Home I 4
LA
Other (Specify)-
TOTAL $ 44,� OV
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
'0'9j,r�'E `8 �1� 9,0 s z
DATE ISSUED PERMIT NO.
*4U0aij- -
TOTAL
N�vJi
3a
9-j
c�
1