1981, 06-01 Permit: 81A-5326 GaragePLAN NUMBER
JOB ADDRESS
LOT I BLO
2. 21
OWNER
3. 14&-o N l
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
LI LeNDfLA 'DZ-. LEGAL DESCRIPTION - SEE ATTACHED
BDIVISION PARCEL NUMBER/S
F;aL thaw Eik=mkiws Z1 3-DGZ7
PHONE
C;wuzsbN Zs r7 e
VALUATION S!,URCE GAS ELECTRIC WATER SE ER
J) Ownership USE CODE
2i'Rii` UTILOITIES Public E) 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 governing this Building •®tj
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
�• C
nATF r1F APPI IrATIorpSt M Q 198r cianiAri IDc nr- ADDI Ir-Anrr Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE
Planning
Fire Marshall
Co. Engineer
Utilities
Plans Ex ,ner /
5 hec ist e
i Techn�i
PERMIT IS NONTRANSFERABLE
ACf]II IIIT CVlf1- -.1 -1- -R. 11ATG /1G ICCI IA I�If�G
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTA L $ Qty
PERMIT NUP^"tF3
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
0 b 1.y18 5 3 2 6 'z
*4400a.i -
ADDRESS
ZIP
Actual Set Backs in Feet
��•
L. Q—SZI
�, /�
Z&A
+�,
/
P0211D
��i
(04
Ll1
1J>l •
North South
East West
CONTRACTOR
PHONE
Size of Parcel
Zone Classification
e74ve
9)BX.I,-30
1 5&f L6 "
4.
ADDRESS
ZIP
Type Const. Occupancy
Sprinklered
/
��I G
M
❑Yes [:]No ❑ Req'd.
DESIGNER
PHONE
Valu ion
Building Area in Sq. Ft.
5.
ADDRESS
ZIP
Main Floor
Upper Floors
Garage Area
Storage
I OM
CHANGE OF USE
FROM
TO
Area of Decks
Finished
Basement
Unfin. BasemE
6.
TYPE �J
_//
No. Baths
No. Stories
No. Rooms
No. of Dwe'
NEW
❑ ALT.
tf� AD'N. ❑ RPL.
❑ MVE.
l
7,
OF
❑OTHER
WORK U(BLD.
1:1PLMB.
❑ MECH. ❑ M.H.
❑POOL
CERTIFICATE
Req'd.
Recd.
Note
of EXEMPTION
-
DE CRIBE WORK
. KI
/' I
Enum. Dist,
I Location (Area)
FEES COLLECTED
VALUATION S!,URCE GAS ELECTRIC WATER SE ER
J) Ownership USE CODE
2i'Rii` UTILOITIES Public E) 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 governing this Building •®tj
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
�• C
nATF r1F APPI IrATIorpSt M Q 198r cianiAri IDc nr- ADDI Ir-Anrr Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE
Planning
Fire Marshall
Co. Engineer
Utilities
Plans Ex ,ner /
5 hec ist e
i Techn�i
PERMIT IS NONTRANSFERABLE
ACf]II IIIT CVlf1- -.1 -1- -R. 11ATG /1G ICCI IA I�If�G
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTA L $ Qty
PERMIT NUP^"tF3
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
0 b 1.y18 5 3 2 6 'z
*4400a.i -
i