1981, 08-14 Permit: 81A-8177 GaragePLAN NUMBER
2
JOB ADDRESS
E.
LOT BLOCK
1
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
612 1/V4 D rj T Lio rn E Q-4
SUBDIVISION
1
CCCHR.ANES `-'L3
LEGAL DESCRIPTION - SEE ATTACHED
OWNER
3, e1AMA2
UNITE
PHONE
C1 zz-813 7
PARCEL NUMBER/S
07544-- alot
ADDRESS
. 8R 1�
MON t6o-m(Srz)
Cf. CC3-0C-
ZIP
Actual Set Backs in Feet
North (South to
East 'West 3
CONTRACTOR
Snoite
PHONE
Size of Parcel
75X 13C0
Zone Classification
AG2\t t _ru2ac
ADDRESS
.(IMG
ZIP
Type Cons
Occupancy
1141-1-
Sprinklered
Dyes ENO 0 Req'd.
DESIGNER
PHONE
Vajmation
W21 364 -
ADDRESS
ZIP
Main Floor
Upper Floo
Building Area in Sq. Ft.
574.
s Garage Area
5 7' --
Storage
CHANGE OF USE FROM
6.
TO
Area of Decks
Finished Basemen
Un n. Basemen
TYPE
7. OF
WORK
e NEW
VELD.
D ALT.
D PLMB.
D AD N. 0 RPL. 0 MVE.
D MECH. 0 M.H. 0 POOL
0 OTHER
No. Baths
No. Stories
No. Rooms
No. of Dwelling
CERTIFICATE
of EXEMPTION
Req'd.
Recd.
Not Rsq'd.
DESCRIBE WORK
.8. roc: AiiiC CN c r i tJcG ns
iit VALUATION SOURCE GAS ELECTRIC WATER
'a.t 4- UTI UTILITIES
Enum. Dist.
Location (Area)
SEWER
Sin t,
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 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 APPLICATIOy't SIGNATURE OF APPLICAN ' .S .ice Za' ref
SPECIAL APPROVALS
NAME DATE
Ee v 1/77
anning
Fire Marshall
Co. Engineer
Nat aeot`Q
Ut ll d Ie
Plans Examiner
SEPA Checklis
Building Technician
SPECIAL CONDITIONS:
Rift T ' For.- Av?ROFIcl1 To EC 6tiCAtrt:CO PO -tog
"co n• t, L'tAR(3 CUTS, I4O MO a_t[ PL.AtutuCO
TItt5 itrtc GNI Riqp‘r•air —w„y
PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
FEES COLLECTED
Single
Building
Plumbing
:Meth.
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL $
PERMIT NUMBER
5/A --i17
02* *3800
*3a00
*38.006
A *Q'00 8
81 7.63
0.8-14-81
3 6A79.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
11.&i,IL18Jo11
DATEOI i.j,
I
PERMIT 801 7:71 '2 i* 3 84-0A2 1-
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