1981, 09-02 Permit: 81A-8834 GaragePLAN 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.
JOB ADDRESS
r r:C s'7i/ C(fl
LOT BLOCK SUED ION
2. RI .2,
Cr
LEGAL DESCRIPTION - SEE ATTACHED
Cogd//z,ir C'S7)t7L3
OWNER
3. Qefr Ggar=F
ADDRES
5/1/94=
PHONE
PARCEL NUMBER/5
PTA/ oi- c9 E5S2-°/O?
ZIP
Actual Set Backs in Feet
North 2.3 I South 3D East
West
4.
CONTRACTOR
R &I7J
CO
PHONE
9zc'•SZ90
ADDRESS
4 /it 7/ 3 • 5-77/ tGr
ZIP
9/90 37
Size of Parcel Zone Classification
871 T I ' IRREci RJ"—SII',rrnkt Morj)LL *lc
Occupancy
M—I
Type Const.
✓- N
Sprinklered
❑Yes ❑No 0 Req'd.
5.
DESIGNER
ADDRESS 11.
PHONE
ZIP
Val ation
z9e�fDO
z
Main Floor
Building Area in Sq. Ft.
4814
Upper Floors
Garage Area
r[ -Li
Storage
6.
CHANGE OF USE FROM
bh
TO
Area of Decks
Finished Basement
Unf in. Basement
TYPE
7. OF
WORK
ION EW
3 BLD.
❑ ALT.
❑ PLMB.
❑ AD N.
❑ MECH.
❑ RPL.
O M.H.
❑ MVE.
❑ POOL
0 OTHER
No. Baths
No. Stories
No. Rooms
1
No. o Dwellings
CERTIFICATE
of EXEMPTION
Req'd.
Recd.
Not Req'd.
DESCRIBE WORK
6. O,qg . -' P7776/MD (22.' x z21
Enum. Dist. I Location (Area)
VALUATION
9.
SOURCE
OF
UTILITIES
GAS
ELECTRIC
WATE
SEWER
Ownership
Public 0 Private 0
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 INSPECTIOI'S
DATE OF APPLICATION
SPECIAL APPROVALS
NAME DATE
Env. Health
key ',Ect,ip
Planning
Fire Marshall
Co. Engineer
Utilities
Plans Examiner
SEPA Checklist
Building Technician
SIGNATURE OF APPLICANT
SPECIAL CONDITIONS:
SLAB $'6.00
APPattp. OP PRWWWAV nK ay s SMALE. I{-2.44-31
PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
• FEES COLLECTED
Single
Building
Plumbing
Mech.
Plan Check
SEPA
Mobile Home
Other (Specify)
$ CO
7i � Itx
'q Cb
TOTAL $ R' �X
PERMIT 1OUMBERs
8/A— S63
02* *38x70
* 3800 63
* 38006
A +QO0 3
883.32
09-02L 1
6479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
o;g1'a;e 7 s,'i
DATE ISSUED
818t14Z 8.0'0 2r)
PERMIT NO TOTAL
LOT ESTATESL ATE
85.1VV
grei
/ 6 7/, C Ai/We C 7:
7
,/ GRACECOURT
sc:ALE : VI to" - { FT.