1981, 05-08 Permit: 81A-4491 GaragePLAN NUMBER r4 . 1,
2=8/A-227 -6firn
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APPLICATIOIdPERMIT
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. LO.
Z.�1�i Ella°
T BLOCK SUBDIVISION
2. 15 1 014x'( Aioo,
LEGAL DESCRIPTION - SEE ATTACHED
3.
OWNER
W 1/41 q Kat
-7+10
PARCEL NUMBER/5 2g s4 -I
- 1515
ADDRES31 yIALJO
4.
0
CONTfjAC7$
ADDRESS�--
ZIP
PHONE G
Actual Set Backs in Feet
North 1South
East
'West'
ZIP
Size of Parcel Zone�ClasslficatIop
I c Cn•(" L/
Sprin erect
•r n
Type donst.
V
Occupancy
M
Dyes DNo 0 Req'd.
5.
DESIGNER
PHONE
Valuati -5Cvl tO
Building Area in Sq. Ft.
ADDRESS
ZIP
Main Floor
q3
Area Storage
Upper Floors Garage
G
CHANGE OF USE FROM
6.
TO
Area of Decks
Finished Basement
Unfin. Basement
TYPE
7. OF
WORK
0r NEW
�D.
O ALT.
❑ PLMB.
0 AD N.
❑ MECH.
❑ RPL. 0 MVE.
0 M.H. 0 POOL
-SG >4 Flo
8.
DESCRIBE WORK JJ�..os,2 -(o,
0 OTHER
No. Baths
No. Stories
No. Rooms
No. of Dwellings
CERTIFICATE
of EXEMPTION
Req'd.
Recd.
Not RoG'd.
Enum. Dist. I Location (Area)
VALUATIOrt
9.
SOURCE
OF
UTILITIES
GAS
ELECTRIC
WATER
SEWER
WC''
Ownership
Public D Private
SE 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 Iawsland ordinances governing this
type of work will be complied with whether specified herein or not. The granting`6f 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
J REVERSE SIDE FOR REQUIRED INSPECTIONS ��Jj
DATE OF APPLICATION -51171/g/ SIGNATURE OR APPLICANT 4!//Z4C�
SPECIAL APPROVALS SPECIAL CONDITIONS: Said b
NAME DATE
En
Planning
Fire Marshall
o. En
e�j
Utilities
I nee
I
Plans Examiner
4 i
S
i' t
SE •A Checkiis
estairisa
PERMIT IS NONTRANSFE▪ RABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
FEES COLLECTED
Single $
Building
Plumbing
tech.
Plan Check
SEPA
Mobile Horne
Other (Specify)
TOTAL
PERMIT NUMBER
' A 4'1-
021* *5600
*5600
*560.06
A *000 3
-43062
05=05'+811
6479.
WHEN MACHINE VALIDATED IN THIS S
THIS BECOMES A PERMIT.
DATE ISSUER
44 9.11 *5•46.0'01.�
PERMIT NO. TOTAL
ii
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12
Pcta
321
Pc NC -
75 -1 X=6�
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D - 70/
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< 30
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