1981, 04-15 Permit: 81A-3572 GaragePLAN NUMBER t_
t'//Sy P/
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. , 1 1t c RAoe Cx
LOT BL CK SUBDIVISION
2. 1$ .Z COACH- LrtC.
LEGAL DESCRIPTION - SEE'ATTACHED
.AAtcS
3.
4.
5.
O NER
AQt'_k1E
M AfNE x2ir
PHONE
92 A -54ta
PARCEL NUMBER/S
G(dei2 - 151$
ADDRESS
E. I$8t2 Ci(LAX_
CONTRACTOR
GAME
ADDRESS
GAME,
DESIGNER
ZIP
Actual Set Backs In Feet
North 1(). 'South
East I West
PHONE
Size of Parcel
IL10X1(S
Zone Classification
QZEZ• MOBILE Root
ZIP
Types Const.
Occupancy
01.1
Sprinklered
Oyes ONo 0 Req'd.
PHONE
Val tion
3.1(06
Building Area in Sq. Ft.
5 ZB
ADDRESS
ZIP
Main Floor
Upper Floors
Garage Area
5Z9,
Storage
CHANGE OF USE FROM
6.
TO
Area of Decks
Finished Basement
Unfin. Basement
TYPE
7. OF
WORK
dNEW 0 ALT.
BLD. 0 PLMB.
❑ AD N. 0 RPL. 0 MVE.
0 MECH. 0 M.H. 0 POOL
0 OTHER
No. Baths
No. Stories
No. Rooms
No. o Dwellings
CERTIFICATE
of EXEMPTION
Req'd.
Re 'd.
Not ji eq'd.
�
DESCRIBE�WORK
VC
8. tI1L1'1Ei) C'nAactc Ls -4 SLA lb
Enum. Dist.
Location (Area)
9.'6VALUATION
, 160
SOURCE
OF
UTILITIES
GAS
ELECTRIC
WATER
SEWER
`EPPT1L
Ownership
Public 0 Private id
USE CODE
1. 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 `J ) 4. - 2/ SIGNATURE OF APPLICANT' OCI��jCL
E
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE
nn ng
Fire Marshall
Co. Engineer
Nei zcoto.
Utllitie
Plans Examiner
o R
SEPA Checklist
8' di
Ex(ST',w.)y 1Jci(JC
PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
FEES COLLECTED
Single
Building
Plumbing
Mech.
0'11.40
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL $ 4 -.Cc
PERr.44r NUNi3EI�'
rY/A- } 7y)
012i* *44.00
*44.00
• 3'5.7:12
04-15-8'.1
6479.
• 03
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
11471i151,,blI
DATE ISSUED
3,57;2
PERMIT NO.
*'4 4 0.0
O J -
TOTAL,