1981, 05-14 Permit: 81A-4697 GaragePLAN NUMBER
APPLICATION/PERMIT
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
1.
2.
3.
APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3 -COPIES
JOB /DDDR 1 l Loc
I6 o&
I_qT ' B OCKr SUBDIVISION ✓j y1. -44121V14161\1
�rr� TtP-r-r r
PHONE
2-56-4(467
ZIP
OWNER
NO156k< EiYNN
ADD - °1 1 v L2ctlr- r a V0
LEGAL -DESCRIPTION - SEE ATTACHED
PARCEL NUMBER/SOgL.4, ^ 01
Actual Set Backs in Feet
North V7 'South
East 44 (West
4.
CONBJ-'TRAFTgR
77IIAA�`NN ��
PHONE
ADDRESS •
ZIP
Sizef Parcel
I4 -0>c,
OCG Ipancy
Tyle Const.
Zone Classificon
t6
I5 r
Spr klered
❑Yes ❑NO ❑ Req'd.
5.
DESIGNER
PHONE
Valuation
ADDRESS
ZIP
M
475 7 --
Main Floor Upper Floors
Building 9/ea in. Ft.
Gar39e Alea
Storage
CHANGE OF USE FROM
6.
TO
Area of Decks
Finished Basement
4-
Unfin. Basement
TYPE
7. OF
WORK
R21/7w 0 ALT.
Yd BLD. 0 PLMB.
❑ AD N. 0 RPL. ❑ MVE.
❑ MECH. 0 M.H. 0 POOL
0 OTHER
No. Baths
No. Stories
No. Rooms
No. of Dwellings
CERTIFICATE
of EXEMPTION
Req'd.
Rec'd.
Not R 'd.
8. DESCRIBE WO F� 2')
9.
VALUA ION
SOURCE
OF
UTI LIT IES
AS
ELE RIC
WATER
Enum. Dist.
Location (Area)
SEWER
Ownershlp
Public ❑Private
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 construcgpn or the
performance of construction. SEE REVERSE SIDE FOR REQUIRED INSPECTION
•
DATE OF APPLICATION .%nk. SIGNATURE OF APPLICANT
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE
En
Planning
Fire Marshall
Co
Utllihe \`
�ns Ex
all
PERMIT 1S NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
FEES COLLECTED
Single
Building
Plumbing
Mech.
Plan Check
SEPA
Mobile Home
,Other (Specify)
TOTAL $
PERNUM'6'ER, ,�
8i13-4<ac17
0.2* *50'00
*50.00 .N
*50.00
A *Q00
4'6622
.0151-13-81
2 6479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
;06,itiii!4) i I41
DATE ISSUED
469.7z *'5 0:011c1, -
PERMIT NO- - TOTAL
0
n
Pl
paged Bare
N,
g-118 Locus ti?
LOGq sq
5413'9 b