1981, 07-21 Permit: 81A-7290 GaragePI. AN IV<JtMBER-
I APPLICATION/PERMIT PE N,t F .
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 ADDRESS
1 _ ` LEGAL DESCRIPTION — SEE ATTACHED
LOT I BLOCK SUBDIVISION PARCEL NUMBER/S
2. � ,��lJ�.`J J \E�—CES
OWNER PHONE
3. 'Z33c Z7} 5 - IlU
ADDRESS ZIP Actual Set Backs in Feet
�^ /
L,G i ��1Z North ` South East West
CONTRACTOR
PHONE
Size of Parcel
Zone Classification
rA
X �,
4.
ADDRESS
ZIP
Type Const.
Occupancy
Sprinklered
S1VlG
i'
-✓ /nil
❑Yes ❑No ❑ Req'd.
DESIGNER
PHONE
Val tion
Building Area in Sq. Ft.
2-75
-7 1 2
5.
"
ADDRESS
ZIP
Main rloor
Upper Floors
Garage Area
Storage
It Z_
CHANGE OF USE FROM
TO
Area of Decks
Finished Basement Unfin. Basement
6.
TYPE �`
NEW ❑ ALT. R1 AD'N. El RPL. ElMVE.
No. Baths
No. Stories
No. Rooms
No. of Dwellings
7, OF �// 1:1OTHER
Req'd.
Recd.
Not RSq'd.
WORK '-'" BLD. ❑ PLMB. ❑ MECH. ❑ M.H. ❑ POOL
CERTIFICATE
I
I
of EXEMPTION
I V/
DESCRIBE WORK
Enum. Dist. Location (Area)
8 4+E � CZ
FEES COLLECTED
VALUATION
I
SOURCE
GAS
ELECTRIC
WATER
SEER
Ownership SE CODE
9. 2713
OF
UTILITIES
V
Public ❑Private 'r
Single $
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
Building =CJ0
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 APPLICATIO tqv SIGNATURE OF APPLICANTI
Mech.
02* *50,00
*500.0
to -
5
ri *0,0.0
72a92
07-21-8.1
z 6 4
a _
! A
ECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE Plan Check
Env alth
SEPA
Aaning C
C
Fire Marshall Mobile Home
L
Co. Engineer Other (Specify)
-7/
2)
Utilities
ner
:Ghnician - _ PERMIT IS NONTRANSFERABLE
`= I PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
TOTAL $S6,00
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
T -it 729,02
DATE ISSUED PERMIT NO.
* a,00 2�-J- -
TOTAL
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