1981, 07-06 Permit: 81A-6697 GaragePLAN NUMBER APPLICATION/ PERMIT PERMIT NUMB'—.F .
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
1 ` NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3 COPIES
JOB ADDRESS
DLb�C� LEGAL DESCRIPTION - SEE ATTACHED
vs�ALOT BLOCK UB I ION PARCEL NUMBER/S
OWNER PHONE
3. --� -QTV- - o �1`j4Z-Z3i�
ADDRESS ZIP Actual Set Backs in Feet
. t -as North C''f
' South East J I' West
CONTRACTOR
PHONE
Size of Parcel
Zone Classification
MAPA e
J 40(0)<
A(a S, A, ---,LAr->3
4. ADDRESS
ZIP
Type Const.
Occupancy
Sprinklered
I
2
Dyes ❑No ❑ Req'd.
DESIGNER
PHONE
Va uata'on
Building Area in Sq. Ft.
-t�4 3 0
7Z-0
5.
ADDRESS
ZIP
Main Floor
Upper Floors
Garage Area
Storage
CHANGE OF USE FROM
TO
Area of Decks
Finished Basement
Unfin. Basement
6.
No. Baths
No. Stories
No. Rooms
No. of Dwellings
TYPE
�j`�EW ❑ ALT. ❑ AD'N. ❑ RPL. ❑ MVE.
i
1
7, OF El
ElOTHER
_J
WORK LvJ BLD. E3PLMB. ElMECH. 1:1M.H. 1:1
CERTIFICATE
Req'd.
Recd.
Not Req'd.
/
of EXEMPTION
Y
DESCRIBE WORK
Enum. Dist.
I Location (Area)
FEES COLLECTED
s. �-A(-
A204 -4 w
VALUATION
SOURCE
GAS
ELECTRIC
WATER
SEWER
Ownership USE CODE
>'✓�
UTILOITIES
S—
Public ❑ 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
type of work will be complied with whether specified herein or not. The granting of a permit does not presume
Building ba
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
f
DATE OF APPLICATION // 6 / •F/ SIGNATURE OF APPLICANT
Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE
vianning
Fire Marshall
C .Engineer
Utilities
Plans ��aminI
�
echnician PERMIT IS NONTRANSFERABLE
f' lIrt PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL $ 669. M
02* *50.00
*5000?
669.60.
0f-04-81
6.479,
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
2" 6 6 9.7
DATE ISSUED PERMIT NO.
*50.00°0- -
TOTAL
oT 1 D &IK 3 Wel rs l EY MAw,,2 Paetl 0/.5 .2
1593ct/LF /•`c✓ A✓E
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