1981, 07-27 Permit: 81A-7448 Garage AN NUMBERI APPLICATION/PERMIT PERMIT NUMBER
SPOKANE COUNTY — BUILDING CODES DEPARTMENT SI "77
6:11) NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509)456-3675
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
JOB ADDRESS i.. ,. * * 6 G U 0
1 --.2.5a I �r LEGAL DESCRIPTION — SEE ATTACHED * 6 2 0 0 r
LOT BLOCK SUBDIVISION _ O 1 / �� �� PARCEL NUMBER/S � �
5 �W.I a 1 O fJ� + � inn
Y.
2. *7 m°oRidtJ L '-� I
OWNER PHONE A, * Q, ll 0
3. h Gr `�� 4.4
' - 5717_
ADD ESS ZIP Actual Set Backs in Feet �/� �'
1�<-,..1'-' I �- 'FL p [�1 North 'South East .r -`� West I� 0 7_ 2 7_8.,)
CONai= N does 519t5Act--r- 514(4E 4 O Size ._Parcel4 Z Cl�sl test
iJ r✓ 6.4 7 9
4' ADR-r: 4 r ��`�� �IC� TypelConst. O�cl pancY f lc
mklelred
��I 1�7� 'V/'1vl M Elves ❑No 0 Req'd.
DESIGNER PHONE Valuati � �� Building e Arin Sq. Ft.
luOn
5' ADDRESS ZIP Main Floor Upper FloorsGarage rea Storage _
_ Oa .—
CHANGE OF USE FROM TO Area of Decks Finished Basement Unfin. Basement
6.
TYPENo. Baths No. Stories No. Rooms No. of Dwellings
W 0 ALT. ❑ AD'N. 0 RPL. ❑ MVE.
27
7. OF ❑ OTHER
WORK JJJ BLD. 0 PLMB. ElMECH. CIM.H. CIPOOL CERTIFICATE Req'd. Recd. Not, eeFd.
of EXEMPTION /R
DESCRIBE-� WORK (4-
Enum. Dist. Location (Area) '
8 1e '4" eitAKAGT Ir _ 2.. •),. / � wco> FEES COLLECTED
VALUATI N SOURCE GAS ELECTRIC WATER SEWER! Ownership ,_,/DISE CODE
OF
�,,�
9. UTILITIES • Public ❑Private !� Single $
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 ��
Building
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 Plumbing
DATE OF APPLICATION / SIGNATURE OF APPLICANT -. ''
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE
?"H r IO � �"jIYC`R,�5�. Lho i Plan Check
l t h N
7/ZZ— SEPA
Planning / O
Mobile Home u-i
Fire Marshall -.1
ii."
r
cqngipeg
FF,a!//r 7�� Other(Specify)
Uti sties [ •
TOTAL $ v z.
\ ns E . iner•
' WHEN MACHINE VALIDATED IN THIS SPACE,
SEP. Che list THIS BECOMES A PERMIT.
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Bui • .,:,:Tec -R PERMIT IS NONTRANSFERABLE '0�7 1e7._8117'4 4.8 z *6 2.O 0 a
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL
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