1981, 07-10 Permit: 81A-6849 GaragePLAN NUMBER
r? 361-
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
1.
2.
3.
JOB ADDRESS
t• \GiZZZ YnuSSinvj1
LOT SUBDIVISIO
BLOCK
LEGAL DESCRIPTION - SEE ATTACHED
OWNER
LARK 1 LATK.E
PHONE
g74f-s sz
PARCEL NUMBER/S C:.OR rp.J A00 'TO 6/Raz`JRCQts
ts,t€F1 OE..lt-S' OF Ccr-r t3LK1 4 'IM.lC'
GF 1•:• tES' LOT 1 1y—K-t
1155z -6i4Z •
ADDRESS -
E . lot4zz YAtSStON
CONTRACTOR
4• V.W ILLI AlnA C'.OL AM
ADDRESS
E=,10155 NItSS1oP3—
DESIGNER
5.
ZIP
Clqb
Actual Set Backs in Feet a
North pt 'South
East
zol I
West
PHONE
C(zilr ZZ7S
Size of Parcel Zone Classification
I0Sn(20 RlCullk,2wC—
ZIP
gaols.,
Typo Const.
Occupancy
i11- I
Sprinklered
❑Yes DNo D Req'd.
PHONE
ValgatIon .
Building Area in Sq. Ft.
3
ADDRESS
ZIP
_744 J Cz4
Main F1oor Upper Floors Garage Area
ce14
Storage
CHANGE OF USE FROM
6.
TO
Area of Decks
Fin 'Shed Basement
Unfin. Basement
TYPE
7. OF
WORK
F/1/NEW 0 ALT. VAD N.
IVB BLD.
0 PLMB. 0 MECH.
❑ RPL.
D M.H.
❑ MVE.
❑ POOL
0 OTHER
No. Baths
No. Stories
No. Rooms
No. of Dwellings
CERTIFICATE
of EXEMPTION
Req'd.
Recd.
Not R{q'd.
DESCRIBE WORK
$ CZJL2f�GF, 14DO morJ to Rest DFNCE
Enum. Dist.
Location (Area)
t,{ VALUATION
g
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
SOURCE GAS
OF
UTILITIES
ELECTRIC
WATER
SEWER
C_
Ownership ,,/ /
Public ❑ Private W
DATE OF APPLICATION VIM k 4 -ASR r R?Sr SIGNATURE OF APPLICANT
SPECIAL APPROVALS SPECIAL CONDITIONS: L1C6N>< DIC
NAME DATE
L -V -/}LJ- 7Z3 a
• Y
E a
Planning
Fire Marshall
Co. Epginee
1
Utilities
SE P• hec I'st
d • Tec hn,clan
USE CODE
PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
FEES COLLECTED
Single
Building
Plumbing
Mech.
Plan Check
SEPA
Mobile Home
Other (Specify)
°6C.22_
TOTAL $-44=oJ
PERM( r NUMBEEIR .
5111 -&)844
02* *4&00
*4&00 N
*44008
A *000 0
68&82
0.7-40-4
2 6479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
b t ,
DATE ISSUED
68492 '*'440;0x1-2 -
PERMIT NO.
TOTAL
4.
Th.'," • - fib
35
_ "nree
•
4,1
•
DEScRIPr/ON
9w
CORSN APOineb/ TO CREEP' ACK EZ
N /85' OF E. loS OF tor a 01-K
Ano w IS' Or N op _i -or Cit -K
PARCEL
. .
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