1981, 10-20 Permit: 81B-853 GaragePLAN UMBER , APPLICATION/ PERMIT PERI "K-U—r...–,k
SPOKANE COUNTY - BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
V APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
JOB DDRESS
-7,;?—�� LEGAL DESCRIPTION — SEE ATTACHED
2 L7T I BLOCK �� I� PARCEL NUMBER/S (t1��g .� (LiL)
OWNER
3.
P.tiONE
✓O �� Actual Set Backs in Feet
�✓I North is South
F
CONTR CT R
PHONE
Size of Parcel
Zone lassificat ion
r--.
t,�
f Z&
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4. ADDRESS
ZIP
Type Qo
st.
Occupancy
Sprinklered
V
1i
❑Yes ❑No ❑ Req'd.
DESIGNER
PHONE
Valuation,
Building Area in Sq. Ft.
3960
(0 G0
5
ADDRESS
ZIP
Main Floor
Upper Floors
Storage
CHANGE OF USE FROM
TO
Area of Decks
Finished Basement
Unfin. Basement
6.
1
.
_
—
TYPE,�,�
No. Baths
No. Stories
No. Rooms
No. of Dwelling
EW ❑ALT. L� AD'N. 1:1 RPL. ❑ MVE.
7. OF ❑ OTHER
���✓✓�JJJ BLD. ❑ PLMB. 11MECH. ❑ M.H. ❑POOL
CERTIFICATE
Req'd.
Recd.
Not Req'd
WORK
of EXEMPTION
DESCRIBE VYORK-
/1�
Enum. Dist. Location (Area)
FEES COLLECTED
8 A
61ex•ijc�
VALUATION
SOURCE
GAS
ELECTRIC
WATER
SEWER
Ownership USE CODE
9.
OF
I UTILITIES
G
Public Private
Single $
1 hereby certify that I have read and examined this application and have read the "NOTICE" provisions included
n,
on reverse side, and know the same to be true and correct. All provisions of laws and ordinances governing this
Building_
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 construction. SEE REVERSE SIDE FOR REQUIRED INSPECTIONS
Plumbing
DATE OF APPLICATION_ b IZISIGNATURE OF APPLICANT S
Mech.
SPECIAL APPROVALS
NAME DATE
H It
Planning 4all /Fire Marsh 6 tD
Co. wgi KMAO '
Utilities
ryan,� txaminer�
SEPA Checklist
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SPECIAL gNDITIONS:
F'�- CN j
PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
Plan Check
SEPA
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Mobile Home Uj
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Other (Specify)
i1110o
TOTAL $ ? /
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
it
8� 5.3 •z * 4 4.0'0 a
DATE ISSUED PERMIT NO- TOTAL
t,�
r
a
_ v
Mobile Home Uj
J
W
Other (Specify)
i1110o
TOTAL $ ? /
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
it
8� 5.3 •z * 4 4.0'0 a
DATE ISSUED PERMIT NO- TOTAL
� -AN I
SITE LAN I