1981, 09-02 Permit: 81A-8836 GarageI/
PLAN NUMBER
D
R1
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
JOB ADDRESS
1. $7/Z
LOT
2. 4.5.-
BLOCK
3
BLOCK
2.
'Ce CT'
SUBDIVI ION
LEGAL DESCRIPTION - SEE ATTACHED
CdAte-84/;C- rsr-R Es
3.
OWNER
h-O/fr//Y • TR/ph.
PHONE
PARCEL NUMBER/S
Pr/Il o/= o?SSZ d/a?
ADDRESS
.S//MG
ZI P
Actual Set Backs in Feet
North G ISouth
East 30
West .o
CONTRACTOR
4. -,;1/Reit Co
ADDRESS
E/l7/3
DESIGNER
ADDRESS
PHONE
Y2 s2vo
ZIP
990 37
Size of Parcel
8s'x )341 IPP
Type Const. Occupancy
V - PIM -1
Zone Classification
RCS)Pafl/AL NWS)L.p.
Sprinklered
Oyes 0No 0 Req'd.
PHONE
ZIP
Val ation Oo
12Moy •
Upper Floors
Main Floor
Building Area in Sq. Ft.
if Ali
Garage Area
5QQ4
Storage
CHANGE OF USE FROM
6.
TO
Area of Decks
Finished Basement
Unfin. Basement
TYPE
OF
WORK
Ea NEW 0 ALT.
D"QLD. 0 PLMB.
❑ AD'N.
O MECH.
❑ RPL.
O M.H.
O MVE.
❑ POOL
0 OTHER
No. Baths
No. Stories
No. Rooms
)
No. of Dwellings
CERTIFICATE
of EXEMPTION
Req'd.
Recd.
Not Req'd.
v
DESCRIBE WORK
8. l
<aPR/1 E DETAcSMIt .p (.z.21 X221/
9.
VALUATION
SOURCE
OF
UTILITIES
GAS
ELECTRIC
Enum. Dist.
Location (Area)
WATER
SEWER
Ownership "
Public 0 Private l�
f
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 INSPECTION
//
DATE OF APPLICATION
SPECIAL APPROVALS
NAME DATE
z
Env. Health
Planning
Fire Marshall
Co. Engineer
Utilities
Plans Examiner
SEPA Checklist
Building Technician
'.•
SIGNATURE OF APPLICANT
SPECIAL CONDITIONS:
SLAB #6,06
APPRA4L of DRIVEWAY IS RtQUIW=t) By ENblf .tt
u)1}I41 P1WVWgy IS PoUKt1k
PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
FEES COLLECTED
Single
Building
Plumbing
Mech.
Plan Check
SEPA
Mobile Home
Other (Specify)
7 0
TOTAL $
PERMIT %OBER
'02*
*3E00
* 3E00 1-6
* 3E006
A • *000 8
8'8352
09'=02-81
2 6479
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
'O��I,wf'0a8�1'
DATE ISSUED
I .k♦ i
883,6
PERMIT NO.
z *38,00
-
TOTAL
LJT 15
COACH -LTE
ESTATE 5
C..
JBUCKEY[. AVENUE
re AtC• !AL"- , C1