1981, 08-25 Permit: 81A-8494 Garage_C. .
PLAN 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. e7. r G PCOCSO9
2 LOT BLOCKK SU Diva fJ lS tiati
I/60\1
3.
OWNER
stio
LEGAL DESCRIPTION - SEE ATTACHED
ADDRESS 50�
t G170KI , b
COPJNt\I.1. v�Rl
4.ADDRESS
DESIGNER
5.
PlOONE
6- X4-5
ZIP
BOG
PARCEL NUMBER/S 2.Z 4.1- O3�0
z
' of Loi I, 5Lo `1 I
PHONE
ZIPZoG
P143NE
Actual Set Backs in Feet
North (South East 18 (west +2/
•
Size of Parcel Zonq Classificationow � I. IpV/�LGr
Sprinklered
❑Yes ❑No ❑'Req•d.
Type nst.
Ocpµpancy
ADDRESS
ZIP
Building Area in Sq. Ft.
Valuation/4C—
Upper Floors Garage l{.rea
Main Flo r
Storage
6.
CHANGE
,O�F//USE FROM
NEW
TYPE
7. OF
WORK
TO
(
Area of Decks
Finished Basement
Unfin. Basement
0 ALT.
BLD. 0 PLMB.
❑ AD N.
❑ MECH.
❑ RPL.
❑ M.H.
❑ MVE.
❑ POOL
0 OTHER
No. Baths
No. Stories
No. Rooms
No. of Dwellings
CERTIFICATE
of EXEMPTION
R eq'd.
Rec'd.
Not R'eq'd.
DESCRIBE WO Avg,
8. b _ r' rso s is 3 O `J` -a -✓
VALUATiiiON SOURCE GAS EC RIC AT R SEWER
OF
9. UTILITIES
Enum. Dist. I Location (Area)
Ownership
Public 0 Private
USE CODE
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 presu e
to give authority to violate or cancel the provisions of any other state or local law regulating, onstyuctionthe
performance of construction.
SEE REVERS SIDE FOR REQUIRED INSPECTIO
- DATE OF APPLICATION [.�,uj/—/ci SIGNATURE OF APPLICANT
SPECIAL APPROVALS
NAME DAT
Env. Health
-G y`Oi fi/ Mira(.!
Planning
Fire Marshall
Co. Engineer
Utilities
Plans Examiner
SEPA Checklist
SPECIAL CONDITIONS:
PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
FEES COLLECTED
Single
Building
umbing
Mech.
PIan'Check
SEPA
Mobile Home
Other (Specify)
TOTAL
PERhiiT NUMBER
SA - *74--
6 2
7t
02* *4400
*4400 16
*44006
A *000 6
8'2442
O8-18.-81
2 6479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
•
O''8I;i�i i8;l 849'42 *4.40'0a'� -
DATE ISSUED - PERMIT NO. TOTAL •
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