1981, 06-24 Permit: 81A-6283 GaragePLAN 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 A DRESS
.LOT
BLOCK
kle7.�,I
SUBD.IVISIqq� `Nleas" rekGCY
-.1-j151)* o rL,aa$ - 0- I t 4 I,
PHONE
2..1)A q q2?-7S_iCXj
OWNER
a C.ALU! i\l '
ADDRESS
CONTRACTOR
`54YLlC_-
4' ADDRESS
5AVIr\I=C
DESIGNER
5.
ADDRESS
LEGAL DESCRIPTION - SEE ATTACHED
PARCEL NUMBER/S
W'1' 2-
Vz Loj-2
ZIP
Actual Set Backs in Feet
North(South �a East 6, West
PHONE
Size of Parcel
75x t35
Zone Classification
Y-16.
n6� S u l3tnuaaN
ZIP
Type Const.
Occupancy
111-1
Sprinklered
❑Yes DNo ❑ Req'd.
PHONE
luation - Bulldi g Area In Sq. Ft.
ZIP
Main Floor
Upper Floors kgArea
Storage
CHANGE OF USE FROM
6.
TO
Area of Decks
Finished Basement
Unfin. Basement
TYPE
LD.
7. IOF
WORK LD.
❑ ALT. 0 AD N. 0 RPL. 0 MVE.
0 PLMB. 0 MECH. 0 M.H. 0 POOL
0 OTHER
No. Baths
No. Stories
No. Rooms
No. of Dwellings
CERTIFICATE
of EXEMPTION
Req'd.
Recd.
Not Req'd.
DCBE WORK
8. ,dJE- ACFatiO
,j VALUATION
9- '7. 46c
E,arz.ACAE Win Q.. -A
Enum. Dist.
Location (Area)
SOURCE
OF
UTILITIES
GAS
ELECTRIC
WATER
SEWER
Sa? il(,
Ownership
Public D Private ll
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 E REVERSE SIDE FOR REQUIRED INSPECTIONS
/mow
DATE OF APPLICATIO
SPECIAL APPROVALS
NAME DATE
Env. Health
1')e_\ 7 -en -
Planning
Fire Marshall
Co. Engineer
Utilities
Finer
Eck
C A i
hJ list I!/
(din Technician �,�1
;Theo :. la› r f
SIGNATURE OF APPLICANT
SPECIAL CONDITIONS:
34u) k PR-o0e Tart((�1-(.-.AP 61V ( V.a1N
AC
3E_PT(G AVPLICA i LDP Nh '
PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
FEES COLLECTED
Single
Building
Plumbing
Mech.
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL
PERP;�rNU�ER
SIR -(0:433
02* *44.00
*4400 �.
*44006 •
A *000
&282
06,_24-'81
2 6479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT. -
l{'r!Qs4�`.JgYj (2'18 3'= “4.0,0
1.
DATE ISSUED PERMIT NO. TOTAL
c‘.