1981, 10-22 Permit: 81B-1007 Addition GaragePLAN NUMBER
JOB ADDRESS
1. [�' (0
LOT I BLOC
2. {
3. OW E"
ADDRESS io
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
7'>PL/L I LEGAL DESCRIPTION - SEE ATTACHED
SUBDIVISION i� 11 J�� _ PAq,RJICEL NUMy�BER/S 1 L� -7���
�L-il`� ` PHONE /V �,�•� I/X'Cs: IN•F�17-0 or, a"
.►� �����, i QIP ��� Actual Set Backs in Feet
XVII Cts/ N
�orth South East West
CONT A R
P ONE
Size of Parcel _
Zo a Classification
-SLI
:
16 x 5�
E, -
4'
ADDRESSI
ZIP
Type qonst.pancy
Sprinklered
\
Dyes [-]No ❑ Req'd.
DESIGNER
PHONE
Valuatior
Building Area in Sq. Ft.
�2j"�
5.
ADDRESS
ZIP
Main Floor
Upper Floors
Gar ge Area
Storage
.,y
.;2—
—
1
CHANGE OF USE FROM
TO
Area of Decks
Finished Basement
Unfin. Basement
6.
1
a
—
TYPE ,;,�
El El ALT. I�AD'N. ❑ RPL. ❑ MVE.
No. Baths
No. Stories
No. Rooms
No. of Dwelling
7 OF ❑ OTHER
iq_
WORK BLD. ❑ PLMB. ❑ MECH. ❑ M.H. ❑ POOL
CERTIFICATE
Req'd.
Recd.
N
of EXEMPTION
DESCRIB WORK l
(�
Enum. Dist. Location
(Area)
FEES COLLECTED
8 r% +�
VALUATI N
SOURCE
GAS
ELECTRIC
WATER
SEWER
Ownership
USE CODE
9.
OF
UTILITIES
I
Public ❑Private
Single $
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
IS6
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 r gulating constru2timn or the
performance of construction. SEE REVERSE SIDE FOR REQUIRED INSPECTIO
Plumbing
DATE OF APPLICATION -)46047/_ SIGNATURE OF APPLICANT 00,
Mech.
SPECIAL APPROVALS
NAME DATE
Env. I
/0 2
a n n1i"r
Fire Marshall
Co. Engineer
Utilities
tans Exine
t/v
A heck t
Buil Tec ician ���
SPECIAL CONDITIONS:
PERMIT IS NONTRANSFERABLE
Plan Check
SEPA
Mobile Home
Other (Specify)
—
TOTAL $
WHEN MACHINE VALIDATED IN THIS
THIS BECOMES A PERMIT.
PERM'TfNUMBER
`ai a _100-7
*800
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