1981, 11-10 Permit: 81B-1670 GaragePLAN NUMBER
Oi
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.
N 3oa -t-�s5
LEGAL DESCRIPTION — SEE ATTACHED
2.
3.
4.
LOT
BLOCK
SUBDIVISION
OWNER
TYt4t. S L-v-mee-SEW
PHONE
CO -8 -7et5S
PARCEL NUMBER/S . '13
�Av i `J <asr
ADDRESS
N
CONTRACTOR
AAC)D. i.t\-t
ZIP
4A
Actual Set Backs in Feet
North South dj
East 40t 'West
PHONE
Size of Parcel
(b(ox �dG
Zone Classification
R&2t C.A. A-X(0L zwV.
ADDRESS
VL..) . S 54' Q1' l -kb -Cc..")
ZIP
c(c a_o8
Type Const.
Occupancy
IM -1
Sprinklered
❑Yes ❑No ❑ Req'd.
5.
DESIGNER
PHONE
Valuation
Building Area in Sq. Ft.
o0
ADDRESS
ZIP
Main Floor
Upper Floor
s Garage Area
r -t C:?C✓
Storage
CHANGE OF USE FROM
6.
TO
Area of Decks
Finish
ed Basement
Unfin. Basement
TYPE
7. OF
WORK
El/NEW ❑ ALT.
L2J/BLD. ❑ PLMB.
❑ AD N.
❑ MECH.
❑ RPL.
❑ M.H.
O MVE.
❑ POOL
0 OTHER
No. Baths
No. Stories
No. Rooms
1.
No. of Dwellings
CERTIFICATE
of EXEMPTION
Req'd.
Rec'd.
Not Req'd.
Y
DESCRIBE WORK
8. JD TYlC-rr!c.o GnuJgc_>€
VALUATION
SOU RCE
OF
UTILITIES
iL a,
Enum. Dist.
SLAT�G"rK'3b)
Location (Area)
GAS 1 ELECTRIC
WATER
SEWER
Ownership
Public ❑ 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 INSPECTIOFI
DATE OF APPLICATION SIGNATURE OF APPLICANT
SPECIAL APPROVALS
NAME DATE
E `(Her
TanrtPing
Fire Marshall
Co. Engineer
Utilities
Plans Examiner
SEPA Checklist
lding Technician
✓�- )J','
SPECIAL CONDITIONS:
FEES COLLECTED
Single $
Building
Plumbing
Mech.
PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
heck
SEPA
Mobile Home
Other (Specify)
TOTAL $ 44.0c
FERMIT NUMBER
81-Ifa10
uc'*
* /i L is 9
0
11 -09--81
6. It 7 c
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
1 �l �=� 8 81
DATE ISSUED
167.OZ *4400a -
PERMIT NO. TOTAL
N
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