1981, 08-10 Permit: 81A-7900 GarageM4
NUMBER I APPLICATION/ PERMIT
-J SPOKANE COUNTY — BUILDIWG CODES DEPARTMENT
NORTH 811 JEFFERSON/ SPOKANE, WASHINGTON 99260 / (509) 456-3675
`� APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3 COPIES
JOB ADDRESS LEGAL DESCRIPTION - SEE ATTACHED
1. ,N (.c)4- RAymoND
LOT I BLO KBD 1 ON PARCEL NUMBER/S
2. -i 1, OPP PF–ckVAFAkAGi4G
OWNER
PHONE
3. 1,4 1 L- P, R -F -F -P
Yz z 1 `fig
ADDRESS
ZIP
Actual Set Backs in Feet
7�
N G0 KA yV1aND SPohAN�-
'?'[,Z 0 6,
North 5' SouthEast �C!v West
CONTRACTOR
PHONE
Size of Parcel
Zone Classification
4.
ADDRESS
ZIP
Type Const.
Occupancy
Sprinklered
�%-�
—
❑Yes ❑No ❑ Req'd.
DESIGNER
PHONE
r1
Building Area in Sq. Ft.
luation
JrSC i�Z Z
Yz
5.
ADDRESS
ZIP
Main Floor Upper
Floors
Garage Area
Storage
55Z8
--
CHANGE OF USE FROM
TO
Area of Decks
Finished Basement
Unfin. Basement
6.
No. Baths
No. Stories
No. Rooms
No. of Dwellings
TYPE CYNEW ❑ ALT. ❑ AD'N. ❑ RPL. ❑ MVE.
�'---
% OF ❑OTHER
BLD. ElPLMB. 1-1MECH. ElM.H. I
CERTIFICATE
Req'd.
Recd.
Not Req'd.
WORK -]POOL
of EXEMPTION
I
DESCRIBE WORK_
Enum. Dist.
Location (Area)
8�ptP, l� ZZ ' X Z 1 1 +i (�
FEES COLLECTED
VALUATION
SOURCE
GAS
ELECTRIC
WATER1.
SEWER
Ownership i p
USE CODE
/ ,\
9. 3�(p� y
UTILITIES
Public EkP.HVate ❑
Single
I hereby certify that I have read and examined this application and have read the
"NOTICE" provisions included44�k
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
Building
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
Plumbing
DATE OF APPLICATION SIGNATURE OF APP
Mech.
SPECIAL APPROVALS
L6PECIAL CONDITIONS:
NAME DATE
Plan Check
En Ith
SEPA
Fire Marshall
Co. Engineer
r - —'cam
Utilities
Plans Examiner
SEPA Checklist
B�ildipg�TecIn ician
r, 7
PERMIT IS NONTRANSFERABLE
Mobile Home
Other (Specify)
vd
0
TOTAL $
PERMi ,, NUMc3ER
8 Ilk --19a 0
0�* * 7Q00
* 3 v ,l
*3 00
* 0.. l 0 G�
7 7 `^l
0 `. -LL-0'' 57 - 8 1
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
7 9 Q 0"z
*8.001;
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