1981, 08-18 Permit: 81A-8242 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
JOB ADDRESS
1. 6- 1t5-7-0 N
LOT BLOCK SUBDIVISIO,.
z.' o9'oR-RJ J
3. OV^L, 1 `Lr:�(`"'l
A "(
DDRESS
S r 115 7-0 MAx en-
CON AITA
4'
ADDRESS
-91b7-
IP
�7 -oc'
LEGAL DESCRIPTION - SEE ATTACHED
PARCEL NUMBER/S 5'I
-, 135 or i4Y
. 1151
1 GP.11 ¢ . 'TIS
S
Actual Set Backs in Feet �7
North (South East 'West ✓
PHONE
Size of Parcel Zo la Ificati n
I I )e 15 I lc__ S' 15
ZIP
Ty;7 (lonst.
c ancy
• Sprin lered
❑Yes ❑No 0 Req'd.
DESIGNER
5. ADDRESS
PHONE
Valuation_
Building Area in pq. Ft.
ZIP
Main Floor
Upper Floors
Garage
A1ea
Storage
CHANGE OF USE FROM
6.
TO
Area of Decks
Finished Basement
Unf in. Basement
TYPE
7. OF
WORK
Pri,EW 0 ALT. 0 AD N. 0 RPL. 0 MVE.
BLD. 0 PLMB. 0 MECH. 0 M.H. 0 POOL
0 OTHER
No. Baths
No. Stories
No. Rooms
No. of Dwellings
CERTIFICATE
of EXEMPTION
R eq'd.
Rec'd.
Not Req'd.
DCSCRIBE WOR
8. I(/s
VALUA ION SOURCE
OF
9. UTILITIES
Enum. Dist.
•
Location (Area)
GA LECT IC WATER 'i SEWER
G��lo
Ownership19,1„.USE CODE
Public 0 Private
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
SIGNATURE OF APPLICANT `
DATE OF APPLICATION 1 -20 -
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE
Env
nn ng
Fire Marshall
Co. Engineer
PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
FEES COLLECTED
Single $
Building
Plumbing
Mech.
Plan Check
SEA
Mobile Home
•
Other (Specify)
TOTAL $
PERMIT -NUMBER
10114 ' 62.4-7-
02*
2.4-z
02* *440,0
*4400 N
*440025
A *Q00 8
7'1 (1'5R ..
07-20-8.1
6479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
;o;aj;i`a!9'lI 8':2429 *4400 a� -
DATE ISSUED PERMIT NO. TOTAL