1981, 04-03 Permit: 81A-3099 GaragePLAN NUMBER
ar -71 OM
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
2.
JOB ADDRESS
C!Z
LOT BLOCK SUB
O NER // a
L- ? 823
/6a Sintk
- �d. ADDRESS
7 / 4,-/-i411---
LEGAL
LEGAL DESCRIPTION - SEE ATTACHED
0
%c_ zifij1ctt /r
CONTRACTOR
PHONE
9.28-�y06-3
PARCEL NUMBER/S _QgQ
,COT 7 /,�,.ct( 7
5ARKEt2 I? AAP M.00/.tt }✓4145 /s.TN D
ZIP
Q -7.4-C7
Actual Set Backs in Feet hit North e x_
/ 'South 70 / East f
West v
PHONE
Size of Parcel t
7d 1/60
A DRESS
ZIP
Type Const.
vN
Occupancy
M-/
Zone Classification
ate.? nkler , 14,—wc.o
prinkleed
Dyes DNo 0 Redid:
DESIGNER
PHONE
Val ation Db
Building Area in Sq. Ft.
sl/
ADDRESS
ZIP
Main Floor
Upper Floors Garage Area
5-76
Storage
CHANGE OF USE FROM
6.
TO
Area of Decks
Finished Basement
Untin. Basement
TYPE NEW 0 ALT.
7, OF
WORK' BLD. 0 PLMB.
❑ AD N.
❑ MECH.
❑ RPL.
D M.H.
O MVE.
O POOL
0 OTHER
No. Baths
No. Stories
/
No. Room
No. of Dwellings
CERTIFICATE
of EXEMPTION
Req'd
Rec'd
Not Req'd
D SC IBE W RK
..� .O.r �D
Enum. Dist.
Location (Ar a)
A LUATION
9v.1.�'Yu
SOURCE 6H5
OF
UTILITIES
ELECTRIC
WATER
SEWER
Ownership
Public 0 Private 0
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 const ction or the
performance of construction. SEE REVERSE SIDE FOR REQUIRED INSPECTIONS
DATE OF APPLICATION
-c /
SIGNATURE OF APPLICANT
SPECIAL APPROVALS
NAME DATE
E' gal y/3
Planning
Fire Marshall
Co. Engineer ,4X/Sr//J4.- PR/JE
O K 9/3/g/
Utilities
Plans Examiner
SEPA Checklist
Bu din9/Te nicia/v
SPECIAL CONDITIONS:
/4-
74,adit to-)
PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
FEES COLLECTED
Single
Building
Plumbing
Mech.
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL
$
PERMIT NUMB
BtA `3ogc
02* *4400
*4400 vii
*44.0,06
A '*400 R
3.07.'12
04-03-8,1
6479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
.I .
3'0,99'5 *4400ale
DATE ISSUED PERMIT NO. TOTAL
Y
O
LLI
U
J
LL
sizt
/644 add.
7. 4.7 _
_O�SSo2-0f07-7_ 4 .
7o'
5a
-sa
ea.
-- «4
a4
AH —
i
N
40
AN )
70
N.1
34
(s)
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