1981, 06-30 Permit: 81A-6546 Detached GaragePLAN NUMBER
APPLICATI N/ ERMIT
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
r- 771-7 1,1
LOT BLOCK SUBDIVISION
2
414.4110 if
OwNGJERre46
3 A RESS 71 7 i.„11,,;_i":�
CONTRACTOR4.
ADDRESS
LEGAL DESCRIPTION — SEE ATTACHED
AV, rr
PHONE
` 2-4330
PARCEL; UMBER/S OHO 3 r 1
6- 152.. r 6r -tic, 68
i52-25 of 1_& 49
Actual Set Backs in Feet (�
1South 3.9 East (West
Zo a Classificati n
Occypllncy
�v0 � O
North
PHONE
Size Parcel
ZIP
Typp
lio n st.
DESIGNER
5' ADDRESS
PHONE
Valuation
Spri lered
❑Yes ❑No 0 Req'd.
Buildin40.re in Sq. Ft.
ZIP
Main Floor
Upper Floors Ga age Area
17
Storage
CHANGE OF USE FROM
6.
TO
Area of Decks
Finished Basement
Unfin. Basement
TYPE
7. OF
WORK
'NEW 0 ALT. ❑ AD N. 0 RPL. 0 MVE.
dBLD. 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 FJkq
DESCRIBE WORK
8. F;��
Enum. Dist. I Location (Area)
VALUA1ION SOURCE GAS ELECTRIC
OF
9. UTILITIES
WATER
SEWER
Ownership 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
DATE OF APPLICATION Co�/ S/ SIGNATURE OF APPLICANT 401r-
SPECIAL APPROVALS
NAME DATE
En� F/��CJ
fanning
Fire Marshall
Co. Engineer
Utilities
Plans Examine
SEPA Checklist
ing Tian
SPECIAL CONDITIONS:
PERMIT IS NONTRANSFERABLE
FEES COLLECTED
Single $
Building
Plumbing
Plan Check
SEPA
Mobile Home
Other (Specify)
PERBER
t�--(?.6
4G
*44.00
654.5;
06-30-51
6.479,
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED
65462 *4400ai-
PERMIT NO. TOTAL i
t
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e_ �.,' r 5- I�2'�� 'r --rig. c,s
1
6 p'o ^ bn (O' -
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