1981, 01-13 Permit: 81A-394 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 ADDRESS
1. 'E. SO 10 LEGAL DESCRIPTION - SEE ATTACHED
LOT I BLOCK ISUBDIVISIONPARCEL NUMBER/S Or_2go� -= oli=
2. '$c_or..lc 3`7, 13E'c� . I -,s' �L� o F NE �o� TH•
OWNER PHONE
3. M A 12- V-- Amory 45kzz-0-1 4
ADDRESS ZIP Actual Set Backs in Feet
I:-_- , la0t b So ILA -rim ��l)rrRW�liq North South rZ3� East AGI West `Z I
CONTRACTOR PHONE Size of Parcel Zone Classification
4 3X 2.) ( 'A Sc., 8 2.i3>IN
ADDRESS ZIP Type Const. Occupancy Sprinklered
r" -i ❑Yes ❑No ❑ Req'd.
DESIGNER PHONE Valf tion Building Area in Sq. Ft.
. o -7 Q Z-
5. ADDRESS ZIP Main Floor Upper Floors Garage Area Storage
.7 a Z
CHANGE OF USE FROM TO Area of Decks Finished Basement Unfin. Basement
6.
TYPE �/ No. Baths No. Stories No. Rooms No. of Dwellings
LSNEW ❑ ALT. ❑ AD'N. ❑ RPL. ❑ MVE.
7, OF❑ OTHER
WORK j?_/ BLD. ❑ PLMB. ❑ MECH. ❑ M.H. ❑ POOL CERTIFICATE Req'd. I Recd. Not Req'd.
of EXEMPTION
DESCRIBE WORK Enum. Dist. Location (Area)
8. E - -F( ny1Sri 1.vA(Z�C 57�1Z q UI\1 --.SaR o FEES COLLECTED
VALUA ION SOURCE GAS ELECTRIC WATER SEWER Ownership USE COjed
OF
5U' UTILITIES L Public El Private Single
$
9
1 hereby certify that I have read and examined this application and have read the "NOTICE" provisions inclu
on reverse side, and know the same to be true and correct. All provisions of laws and ordinances governing Buildingtype of work will be complied with whether specified herein or not. The granting of a permit does not presuto give authority to violate or cancel the provisions of any other state or local law regulating construction or
performance of construction.. SEE REVERSE SIDE FOR REQUIRED INSPECTIONS Plumbing
DATE OF APPLICATION ,L /C� — 8)
SIGNATURE OF APPLICANT Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS:
Env. Health
Plan Check
NAME DATE ®N C.Ur�ZbU✓�L•r«— '� (OyU
A170111q Z% SEPA
Planning
Tire marsnau
Co. Engineer
Utilities
Plans Examiner
SEPA Checklist
Building Technician Q�
n
PERMIT IS NONTRANSFERABLE
Mobile Home
Other (Specify)
PERMIT NUMBER
*31.00
*31.00
393
c 1 -13 8111
r 6,479,
TOTAL $ St ' O d
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
' z
3 9.4;2' *-3' 1 b 0 a I-- -