1981, 08-14 Permit: 81A-8121 Garage- 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
UB• ♦ •
LO
LEGAL DESCRIPTION — SEE ATTACHED
2. V2 2 C.btAcA — C..I T� �•:�: ATt"'S
OWNER
3 Moot. 1201b60—T
PHONE
44;--S%4-7
PARCEL NUMBER/S
OSSt-OtCXk
ADDRESS
t.
1E/S01
ZIP
G( 406(0
CONTRACTOR
4.
F4iRvJnY [Oa.
PHONE
617.t3-•5Zei0
ADDRESS
E i(v-lt3 StAGLtt
ZIP
RCco3-7
DESIGNER
PHONE
ADDRESS
ZIP
Actual Set Backs in Feet
North (South -70 East West
Size of Parcel Zone Classification
�t5 X 110 PcP'. (14.0e1(2. 14900E
Type Const Occupancy Sprinklered
NEM ❑Yes UNo U Req'd.
Valu tion Building Area in Sq. Ft.
SG.* 544 '
Main' Floor Upper Floors r Garage Area Storage
CHANGE OF USE FROM
TO
Area of Deck
Finished Basement
Unfin. Basemen
TYPE
7. OF
WORK
M'NEW 0 ALT. 0 AD N. 0 RPL. 0 MVE.
(2 BLD. 0 PLMB. 0 MECH. 0 M.H. 0 POOL
0 OTHER
No. Baths
No. Stories
t
No. Rooms
•
No. of Dwellings
CERTIFICATE
of EXEMPTION
Req'd.
Recd. INOt Req'd.
DESCRIBE WORK
8. teTarH O GE.AGF
F
VALUATION SOURCE GAS
0)3,5‘..4 TO
O
WI SLAB
ELECTRIC WATER
Enum. Dist.
Location (Area)
SEWER
SEPTIC
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 /1
DATE OF APPLICATION
SPECIAL APPROVALS
NAME DATE
Env.
Nut
Planning
Fire Marshall
Co. Engineer
Utilities
Plans Examiner
SEPA Check!
Building Technician
744 ey
SIGNATURE OF APPLICANT
SPECIAL CONDITIONS:
C.cpq O ▪ - ApPR.cuEa SC. lC. 3VS'rr='vt
5cc CowiDrtsoNs Uti SIA -6A-43
PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
FEES COLLECTED
Single $
Building 4444,08
Plumbing
Mech.
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL $ 44• Ov
P6RMIPN UMBER
P�114' EM2-1
02* *4400
* 4400 V)
* 4&008
A *0.00
81202
0'8-14-81
6479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
DATE ISSUED
81°a1Y *44000
PERMIT NO. TOTAL
>-
0
U
J
ta: