1981, 09-16 Permit: 81A-9419 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
JOB ADDRESS
1. S. 107-17 1-10.t2464•1
LOT SUBDIVIS ON
2. Co 1 tAirK 76rnOrri OJ
°E 6Jl'L)44lCK
AD ESS
���- 10z 17 N�I,M��I
COMkc,L 5 co 5-C
ADOf1ES$501" rl I14 II
3.
4.
BLOCK
LEGAL DESCRIPTION - SEE ATTACHED
PHO _-77'? 1
ZIP
PARCEL NUMBER/5 or41-1 — 0
Actual Set Backs in Feet
I ✓
North 'South 70 `East ]0
'West
PHONE
328-1357
Size of Parcel
190 ZeO
5.
DESIGNPR
yDG
PHONE
Type [onst.
Occupal cy
oeC
Zlassification
rIC e 50
Sprinklered
❑Yes ONo O Req'tl.
Valuation
2OICC..
Building Brea in_ Sq. Ft.
37
ADDRESS
ZIP
Main Floor
Upper Floors
Garag!pea:
Storage
CHANGE OF USE FROM
6.
TO
Area of Decks
Finished Basement
Unfin. Basement
7.
TYPE
OF
WORK
InteSID.
O ALT.
O PLM e.
LJ AD N.
0 MECH.
O RPL.
❑ M.H.
O MVE.
O POOL
0 OTHER
No. Baths
No. Stories
No. Rooms
No. of Dwellings
CERTIFICATE
of EXEMPTION
Req'd.
Recd.
Not R 'd.
DESCRIBE OR
&114
Enum. Dist.
Location (Area)
9.
VALUATION SOURCE GAS
OF
UTILITIES
ELECTRIC WAT
5_e SEWEGR
Ownership
Public 0 Private
JJSE CODE
I hereby certify that I have read arid 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 constructiio�n. SEE REVERSE SIDE FOR REQUIRED INSPECTIONS
•
r/
T
✓DATE OF APPLICATION /6 - Pj SIGNATURE OF APPLICI T
SPECIAL APPROVALS
NAME DATE
nv.He e
r1/47
Planning
Fire Marshall
Co. Engineer
Utilities
SPECIAL CONDITII NS:'
oO LLC. ( Mit'- —CP 2 24'o1 )
PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
FEES COLLECTED
Single $
Building
Plumbing
Mech.
Plan Check
SEPA
Mobile Home
Other (Specify)
30
TOTAL $ �--'U
PERI IT NUIJIBER--
9`A-7fN
0.2* *3800
*38.00 163
*38,006
A *0.00 3
941:82
0@,-16-81
A' 6479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
l`Ogll±r
DATE ISSUED '
9''41 9 Z r
PERMIT NO.
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0-
0
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