1981, 05-29 Permit: 81A-5265 GaragePLAN NUMBER
APPLICATION/ PERMIT
SPOKANE COUNTY — BUILD&NG GODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
JOB ADDRESS
1. M0 %V s —\06[_ z . LEGAL DESCRIPTION — SEE ATTACHED
LOT I BLOCK SUBDIVISION PARCEL NUMBER/S
2. -1 `11, abALAL1TE �STHit�i C9 2' 1�
OW R
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PHONE
v
ADDRESS ` j
�l�i -RID
ZIP
6(46Z%
Actual Set Backs in Feet
,
lV , �J b1`& -
North South Al East
West /v
CONTRACTOR
PHONE
Size of Parcel
Zone Classification
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Q2��Z�tO
X
4'
ADDRESS
j ^►1
ZIP
Type�Const.
`26
Occupancy
Sprinklered
+ �7,� I, / 1�
E, IID 15 ' CWArr Ur— LYF—a.Acm-%�.
�,
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M-1
❑Yes ❑No ❑ Req'd.
DESIGNER
PHONE
Valuation
Building Area in Sq. Ft.
5.
ADDRESS
ZIP
Main Floor
Upper Floors
Garage Area
Storage
CHANGE OF USE FROM
TO
Area of Decks
Finished Basement
Unfin. Basement
6.
TYPE
NEW ❑ ALT. ❑ AD'N. ❑ RPL. ❑ MVE.
No. Baths
No. Stories
No. Rooms
No. of Dwellings
7, OF ❑ OTHER
WORK BLD. ❑ PLMB. ❑ MECH. ❑ M. H. ❑ POOL
CERTIFICATE
Req'd.
Recd.
Not�eq'd.
of EXEMPTION
DESCRIBE WORK
Enum. Dist. Location (Area)
s. -rwCN Eco/SLAG
FEES COLLECTED
VALUATION
SOURCE
GAS
ELECTRIC
WATER
SEWER
Ownership USE CODE
//����',�A
9. z"IR
OF
UTILITIES
([,
Public ❑Private
Single $
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 this
governing
type of work will be complied with whether specified herein or not. The granting of a permit does not presume
Building3
to give authority to violate or cancel the provisions of any other state or local law regulatin construction or the
performance of construction. SEE REVERSE SIDE FOR REQUIRED INSPECTION n
Plumbing
Mech.
DATE OF APPLICATION SIGNATURE OF APPLICANT - i
SPECIAL APPROVALS
I SPECIAL CONDITIONS:
Ltlic%E/
NAME DATE
P7— Health
)
Plan Check
Planning
Fire Marshall
Co. Engineer
Ila-,
Utilities
Plans Examiner
X64 0
S PA Checklist
din echnT— n
I
tlV AcC"�tzva, c ZccfE�
-{ ZC ,z 1�fihi `L
Eyt7cINC-'baiV(E
PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
SEPA
Mobile Home
Other (Specify)
TOTAL $
PERMIT NUMBER
I Pt -5 S'
02* *3800
*38.00 V
*38.0010
A *000 0
5264g-
05-29-8.1
z 6.479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
t
05-2g=81 526.52
DATE ISSUED PERMIT NO.
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