1981, 01-13 Permit: 81A-452 GaragePLAN NUMBER - -
APPLICATION/PERMIT
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH 611 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3 COPIES
JOB ADDRESS
1.Nr43o2
LOT
2.
BLOCK
SUBDIVISION
'TCtc+v i' Woo0 Ozc %AR- S
OWNER
a -tor R.
ADDRESS
1‘1.
43oz.
CONTRACTOR
SihniC
ADDRESS
SAmE
DESIGNER
4.
ET'S62S; �Ckk62
M Cl?oN1p L0
PHONE
47z-- znS
21P
QctG
PHONE
LEGAL DESCRIPTION - SEE ATTACHED
PARCEL NUMBER/S 0354t-3OO2. C? -no)
S. iSo' Of rst 3c0o' t. Mc, G ZttS' .4 Exc.
W.ra' oV 731-14..
Actual Set Backs in Feet
CO1
North (South tP East 15 West
Size of Parcel
C455 xtso
Zone Classification
121/447t1C &Ctu( c.
ZIP
Type Const.
Occupancy
m-1
Sprinkleretl
❑Ves ❑No 0 Req'd.
PHONE
ADDRESS
21P
Vivation
Main Floor
Building Area in Sq. Ft.
1344
UpperFloors Garage Area
(344
Storage
CHANGE OF USE FROM
6.
TO
Area of Decks
Finished Basement
' Lint In. Basement
TYPE
7. OF
WORK
❑ ALT.
❑ PLMB.
❑ AD N. 0 RPL. 0 MVE.
❑ MECH. 0 M.H. 0 POOL
0 OTHER
No. Baths
No. Stories
No. Rooms
1
No. of Dwellings
CERTIFICATE
of EXEMPTION
Req'd.
Recd.
Not Req'tl.
DESCRIBE WORK
VALUATION
6 AGt 6
SOURCE GAS
OF
UTILITIES
PRAVAT- (.] '94'913
ELECTRIC 1WAT R
SEWER
`Pr1 C.
Enum. Dist. I Location (Area)
Ownership tei USE CODE
Public ❑ Private
148‘0641-,
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
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
/-*/02— Q � SIGNATURE OF APPLICASIce- J.
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE
En Ith
%3.
Planning
Fire Marshall
Co. Engineer
Utilities
Plans Examiner
-11-7w 'PDSTLEwWI : 1/Q
SEPA Checklist
eulml�.9TecChnlc n _ PERMIT IS NONTRANSFERABLE
94 G. PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
FEES COLLECTED
Single
Building
Plumbing
Mech.
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL $ 74-.00
PERMIT NUMBER
SIA-45�.
02.* *7400
*7400 N
*74006
A *000
368,2
0:1-12-81
2 6479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
0,111±.!±1.1 118.11
4 ,5'2112 ' '710 0 a -
DATE ISSUED PERMIT NO.
TOTAL