1981, 03-18 Permit: 81A-2504 Addition GaragePLAN NUMBER APPLICATION/PERMITPE`RfM �NUMBER�
SPOKANE COUNTY BUILDING CODES DEPARTMENT C ` "` 5
/ NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
U
APPLICANT:
COMPLETE NUMBERED SPACES - PRESS
HARD TO MAKE 3 COPIES
JOB ADDRESS
-
LEGAL DESCRIPTION - SEE ATTACHED
1 �+
LOTBLOCK
DI I O
PARCEL NUMBER//SLl
2.
e
%1�% // A5ZI 7
OVaI3. NE
PHONE,
A DRESS
ZIP
Actual Set in Feet
s "
;�/- %
-Backs
North,:5; South East 7 West /16—'_
CONTRACTOR
PHONE
Size of Parcel
Zone Classification
4' ADpRESS
ZIP
Type Const.
Occupancy
Sprinklere
❑Yes ❑No ❑ Req'd.
DESIGNER
PHONE
V,�}uation �JG
7/ ;3/�F—
Building Area injSq. Ft.
—
5.
ADDRESS
ZIP
Main Floor
Upper Floors
Garage Are
Storage
CHANGE OF USE FROM
TO
Area of Decks
Finished Basement
Unfin. Basement
6.
I
TYPE NEW
❑ ALT.
D4 AD -N. ❑ RPL. ❑ MVE.
No. Baths
No. Stories
No. Rooms
No. of Dwellings
7. OF
❑ OTHER
❑ BLD.
❑ PLMB.
❑ MECH. ❑ M.H. ❑ POOL
CERTIFICATE
Req'd.
Recd.
Not Req'd.
WORK
of EXEMPTION
I
h
DESCRIBE WORK , Enum. Dist. Location (Area)
8 : FEES COLLECTED
VALUATION I OU RCE GAS ELECTRIC WA ER SEWER
OF Ownership USE CODE
UTILITIES Public ❑ Private �l
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 =3 —Z %'-9 L SIGNATURE OF APPLICANT
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE
Env. Health
X`
Planning
Fire Marshall
Co. Engineer
Utilities -
Plans Examiner
SEPA Checklist
Single $
Building
Plumbing
4ech.
Plan Check
SEPA
Mobile Home
itC� *CI 4 J0
I 0
F4il.l 0L
rl * 0 0
0-1-g1
6,479.
Other (Specify)
—
TOTAL $ �_
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
illlding'Techician7 -e PERMIT IS NONTRANSFERABLE I 013?711'a t t 1 2 5 0, 4 z tt 4 40,,0 d F -
WPB
`. NORTH PROPERTY UNE
�.P t
95 v