1981, 04-07 Permit: 81A-3195 GaragePLAN NUMBER
iimy
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.
I ci 12 ®uU TL- M+lcrt�I
LOT BLOCK (SUB (VISION
LEGAL DESCRIPTION — SEE ATTACHED
2. 15 11 b Ausi2_ Maul es-tarce
PARCEL NUMBER/S
C*552.7 V2.5
OWNER
3 b014 I t(►t1N4
PHONE
g253-6153
ADDRESS
E . I' tzt Mon ThomER4qqaCo
ZIP
Actual Stet Backs in Feet 5
North ISouth WO1East 42_' 'west
4.
CONTRACTOR
1Jv kr4g0r)a; COnn-rru wctioN
PHONE
83c2- 4t
Size of Parcel
66)(12C
Zone Classification
RES • M1S(LE. “cuvvE
ADDRESS
ZIP
Type Const.
Occupancy,�p
IVi-1
Sprinklered
❑Yes ❑No ❑ Req'd.
DESIGNER
5. ADDRESS
PHONE
Va ation
-?2,4,00
Building Area in Sq. Ft.
stoo
ZIP
Main Floor
Upper Floors I Garage Area
4o
Storage
CHANGE OF USE FROM
6.
TO
Area of Decks
Finished Basement
Unfin. Basement
TYPE
7. OF
WORK
NEW
WJ BLD.
❑ ALT.
❑ PLMB.
❑ AD'N.
❑ MECH.
❑ RPL. 0 MVE.
0 OTHER
❑ M.H. 0 POOL
No. Baths
No. Stories
l
No. Rooms
L.
No. of Dwellings
CERTIFICATE
of EXEMPTION
Req'd.
Rec'd.
4Not ,Req'd.
DESCRIBE WORK
8. -De.. -115 K 6Pa U€ t.6 i5u
VALUATION SOURCE GAS ELECTRIC
�, DO OF
UTILLITIES
Enum. Dist.
ILocation (Area)
WATER
SEWER
tEPt 1C.
Ownership di 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
SPECIAL APPROVALS
NAME DATE
Env. Health
Planning
411/81
Fire Marshall
Co. Engineer
Nem Reca`O
Utilities
•
Plans Examiner
1s)a-r R6aso .
SEPA Checklist
Building Technician
r1
SIGNATURE OF APPLICANT
SPECIAL CONDITIONS:
PERMIT IS NONTRANSFERABLE
FEES COLLECTED
Single $
Building `c0
Plumbing
ech.
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL $ 38.00
PERT NiJ;kgER
NCIS
22 *
* 3 200
0
Cv_
319.
0a-07-31
6.47'9.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
i B,
0414.8..7,.81.
31952 *3&00°aI-
l4't.A) E. t710,0lewan.
42e-- b7S'3
Pi4e0eC 410. 08-552- lgt
Lo t , s , gLocK1
$ ,qLekc &,2 R41, oicL le Nomes
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