1981, 07-23 Permit: 81A-7384 GaragePLAN NUMBER
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
1.
2.
3.
4.
JOB RiDDRESS
Vd
LOT
S'(
2 -II
BLOCK 15UBD C'K���Ili)
rt,
I•ArD -
LEGAL DESCRIPTION - SEE ATTACHED
OWNER
Klnl� L-2
ADDIRESI 1 9 tiOcd5--i RP.
coN A yo
PHONE
24—+10
ZIP
9(0
PARCEL NUMBER/9 y,0 A+3— O�3•7
f,i llaIr- 5- ed or 359
NC -
1 -P72 -0(0
C. h• 215r
Actual Set•Backs In Feet
North 5 (south
East 'West
PHONE
51ag of Parcel
Zone Classification
PvV_
ADDRESS
ZIP
Type Gonst.
N
Qcitipancy
Sprinklered
DYes DNo 0 Req'd.
5.
DESIGNER
PHONE
ADDRESS
ZIP
Valuaatttlon Building Area in Sq. Ft..
�✓�'}" 10+0 Storage
Main Floor
0
Upper Floors Garage Area
CHANGE OF USE FROM
6.
TO .
Area of Decks
Finished Basement
Unfin. Basement
TYPE
7. OF
WORK
V N
BLD.
O ALT.
❑ PLMB.
D AD N.
D MECH.
❑ RPL.
❑ M.H.
❑ MVE.
❑ POOL
0 OTHER
No. Baths
No. Stories
No. Rooms
No. of Dwellings
'CERTIFICATE
of EXEMPTION
Req'd.
Rec'd.
Not R 'd.
DESCRIBE ORK
8. 't' .�-
VALUATItFN
9.
SOURCE
OF
UTILITIES
clicW I.{/S L4403
SEWER
9kri IC>
GAS
ELECTRIC
WA ER
Enum. Dist. I Location (Area)
Ownership
Public 0 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 construction or the
performance of construction. SEE REVERSE SIDE FOR REQUIRED INSPECTIONS
DATE OF APPLICATION
SPECIAL APPROVALS
NAME DATE
Planning
Fire Marshall
Utilities
SIGNATURE OF APPLICAN
SPECIAL CONDITIONS:
PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
FEES COLLECTED
•
Single
Building
Plumbing
Mech.
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL
PER II�TN4TBER'
Su\ -7304-
0.2* *6200
*62'0:0 ti
*6,20.06
A *0.00 8
7.2742
0.7 - 2 11` 8;1
6479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
DATE ISSUED
7'38.42 *t2.:0 0 gg
PERMIT NO. TOTAL
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1111
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