1981, 01-29 Permit: 81A-0976 Garage AdditionPLAN NOMBER
(Di
• APPLIgA; ON/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
JOBDD ESS LL
I
r 0;-1 LLJGILA'S
LOT
BLOCK
2-
SUIBCDI II¢ION
�I �� IIVI/
LEGAL DESCRIPTION - SEE ATTACHED
OWN R
t Iii , -LL j of �r
Aogp`ss , 1 t,Jc: LLc5
95r-0330
PARCEL NUMBER/5
Diss+I - 074 --
Actual Set Backs In Feet -
North 15 'south
East
(West (25
4.
CONN�ACT/JR
PHONE
ADDRESS
ZIP
Size of Parcel
g.�- ,c
0 .cupancy
all
Type,Const.
Zpgnee Classificatiyy nn'iII
Spri klered
❑Yes ONo 0 Req'd.
5.
DESIGNER
PHONE
Valuation
Io2@
Building Area in Sq. Ft.
171
ADDRESS
ZIP
Main Floor
Upper Floors 1 Garage Area
171
Storage
CHANGE OF USE FROM
6.
TYPE
7. OF
WORK
TO
Area of Decks
Finished Basement
Unfln. Basement
❑ NEW 0 ALT. eAD N. 0 RPL. 0 MVE.
VBLD. 0 PLMB. 0 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 Rrq'd.
8.
DESCRIBE WORK
biA /sOO 1'�I QJ W Ca\i?>
VALUA—ION SOURCE GAS ELEC RIC WATER
OF
9. UTILITIES
Enum. Dist.
Location (Area)
SEWER
.r0711
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 INSPE IO
DATE OF APPLICATION 1 pi SIGNATURE OF APPLICANT/�f//
SPECIAL APPROVALS
NAME DATE
to
//fr2e
n nq
Fire Marshall
Co. En 'neer
T KIS,
Utilities
Plans Examiner
To M Pa ,s7 -1.40%-r. '/e7) '7
SEPA Checklist
SPECIAL CONDITIONS:
4oc
4Ak
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
PERMIT NUMBER
«— 7'
02* *19.:00
*19.00
8432
01.-2'6 -8,1
647.9
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
I is
,0 147 21 9t7.8
DATE ISSUED
97:61z *1!9.002l
PERMIT NO. TOTAL
O[-
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