1981, 05-19 Permit: 81A-4882 GaragePLAN NUMBER / APPLICATION/PERMIT
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
v APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3 COPIES
JOB ADDRESS
1 F- Ibz b?LEGAL DESCRIPTION - SEE ATTACHED
LOT BLOCK ISUBDIWSION PARCEL NUMBER/S 1b554-,s?V657
2.
OWNER PHONE �• tip,' OF �L1CA] ?INiC�2iDNA¢t:
3. Mi Kr- LDPEZ CZI?l-'ZDZ1
ADDRESS ZIP
/�,� ZIP Actual Set Backs in Feet
C. 'teams �C Q1Att�lE ug oiokb North South 501 East ISS West
CONTRACTOR
!!)Arnf-
4• ADDRESS
!sAft
DESIGNER
5• ADDRESS
CHANGE OF USE FROM
6.
Size of Parcel Zone Classification
G5 121v I A 12\UkL-ru21ki_
Zip Type Const. Occupancy Sprinklered
�/ No. Baths No. Stories No. Rooms No. of Dwellir
TYPE R(NEW ❑ ALT. ID AD'N. ❑ RPL. ❑ MVE.
7• OF ,_/' ❑ OTHER Req 'd. Recd. Not eq'
WORK F $LD. ❑ PLMB. ❑ MECH. ❑ M.H. ❑POOL CERTIFICATE
of EXEMPTION
DESCRIBE WORK Enum. Dist. Location (Area)
8. AZiA49SO
VALUATION1 SOURCE GAS ELECTRIC WATER SEWER Ownership USE CODE
I��l UTILOITIES S�P'itG Public ❑Private
1 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 INSPECTIONS
DATE OF APPLICATION-15—IS— (c -
SIGNATURE OF APPLICANT
SPECIAL APPROVALSI SPECIAL CONDITIONS: {;-At_fc�
NAME DATE
Planning
Fire Marshall
Co. EEnngr eeer— J
�.( Gt7-Gl G✓
Utilities or
ns Exa in r r
SE hec ist
Build Technician
__ - ice,___
PERMIT IS NONTRANSFERABLE
FEES COLLECTED
IJA
I
❑Yes ❑No ❑ Req'd.
PHONE
Val tion
Building Area in Sq. Ft.
Mech.
3. a
52.6
ZIP
Main Floor
Upper Floors
Garraqaggpe Area
Storage
-5LL'
Area of Decks
Finished Basement
Unfin. Basement
�/ No. Baths No. Stories No. Rooms No. of Dwellir
TYPE R(NEW ❑ ALT. ID AD'N. ❑ RPL. ❑ MVE.
7• OF ,_/' ❑ OTHER Req 'd. Recd. Not eq'
WORK F $LD. ❑ PLMB. ❑ MECH. ❑ M.H. ❑POOL CERTIFICATE
of EXEMPTION
DESCRIBE WORK Enum. Dist. Location (Area)
8. AZiA49SO
VALUATION1 SOURCE GAS ELECTRIC WATER SEWER Ownership USE CODE
I��l UTILOITIES S�P'itG Public ❑Private
1 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 INSPECTIONS
DATE OF APPLICATION-15—IS— (c -
SIGNATURE OF APPLICANT
SPECIAL APPROVALSI SPECIAL CONDITIONS: {;-At_fc�
NAME DATE
Planning
Fire Marshall
Co. EEnngr eeer— J
�.( Gt7-Gl G✓
Utilities or
ns Exa in r r
SE hec ist
Build Technician
__ - ice,___
PERMIT IS NONTRANSFERABLE
FEES COLLECTED
Single
$
Building
44..07
Plumbing
Mech.
Plan Check
SEPA
PEF'MIT NUS" ER
U 0
0
-1 )- 1
6474.
00
* L 4 0 0
4 % 4
x:74.
Mobile Home
Other (Specify aD
1nIdE5( �I�
TOTAL $ Cbdb
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
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