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1981, 03-30 Permit: 81A-2851 Garage
(PLAN NUMBER - 0) r i Z 3/3P/8/ APPLICATION/PERMIT SPOKANE COUNTY — BUILDING CODES DEPARTMENT NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675 1. 2. 3. APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3 COPIES JOB ADDRESS 5', IIo2.0 KJ oX LEGAL DESCRIPTION - SEE ATTACHED LOT BLOCK SUBDIVISION dm=rt* -rLJ?J 1 -r -ti FLA -1' 2 OWNE ADDRESS IO'`0 k, I©X ON �7 ZIP Dr PARCEL NUMBER/S 00 O 6, -2_61:;., c..? OF N• �fo?2, 7 Actual Set Backs in Feet North %L0 (South 41 1 (East IWest 1Z3 4. 5. CONTRACTO ADDRESSe 1 0, i 'VV- tC* DESIGNER 70NE --Z27(0 P 2.40 Size of Parcel )c 21,6 Zone Classification AIJ tut L.'f; iA(L AL Type Const. �N Occupancy >tltt-t Sprinklered ❑Yes ❑No 0 Req'd. PHONE Val tion 4 -,bog Building Area in Sq. Ft. ADDRESS ZIP Main Floor Upper Floors Garage Area .76 Storage CHANGE OF USE FROM 6. TO Area of Decks Finished Basement Unfin. Basement 7. TYPE OF WORK elVEW BLD. O ALT. 0 AD'N. 0 RPL. 0 MVE. O PLMB. 0 MECH. 0 M.H. 0 POOL DESCRIBE WORK 8 VALUATION 974;10g SOU CE OF UTILITIES ( x3 GAS 0 OTHER No. Baths No. Stories No. Rooms No. of Dwellings t CERTIFICATE of EXEMPTION Enum. Dist. Location (Area) Req'd. ELECTRIC WATER SEWER SUPT IC. Ownership Public 0 Private 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 lawregul. ' : c . struction or t performance of construction. SEE REVERSE SIDE FOR REQUIRED INSPECTIONS / s DATE OF APPLICATION �� - f SIGNATURE OF APPLICANT I ;/ .V.d 4 'r�� �� SPECIAL APPROVA S NAME DATE EryG.}iealt O Planning / 3 Fire Marshall Co. Engineer N KT Utilities Plans Examiner \1 dT R6f��ti_ �c s SEPA Checklist Building Technician SPECIAL CONDITIONS: PERMIT IS NONTRANSFERABLE PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE Rec'd. Not F;tieq'd. FEES COLLECTED Single $ wilding ithSD.00 PI- bing ech. Plan Check SEPA Mobile Home Other (Specify) TOTAL $ IPERMIT.NUMBVI &IN- 7--$36-1 02* *5000 * 5000 r * 50.00 *GOt. 279.7; 03-26-81 6.479, WHEN MACHINE VALIDATED IN THIS SPACE, THIS BECOMES A PERMIT. } 0't ' 31;-'8 ,1' DATE ISSUED 28`1 z *50,00 RF -- PERMIT NO. TOTAL BRANSON STEM. lUILUIRtaa E. 10919 BROADWAY • SPOKANE. WA 99206 1 1509) 928-227 HOMEOWNER:_ RULES: 1 Bldg. must be 5' 2 Bldg. must be 10 3 Bldg. must be 25 if property line (4) Bldg. must be 10 from property line ' from drain field ' from property line is next to a street ' from all existing bldge. ADDRESS: PARCEL # LEGAL: NORTH iflad ),.,. ' x thy% -4 -' ,./:: c SOUTH (Road) 1. Draw in all existing buildings. 2. Draw in new bldg. & how many feet it is from 3. Name all roads next to property. 4. Draw in drain field and whether you are on a 5. Size of property. existing bldgs. and property lines. septic tank or sewage system. c c a