1981, 05-20 Permit: 81A-4924 Garage PLAN NUMBER 1 ,-1 /7 APPLICATION/PERMIT PERM!, NUMBR
///� `/ SPOKANE COUNTY — BUILDING CODES DEPARTMENT �A
V NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
JOB ADDRESS
1. 1 7 I.g2 V 6KA , ---4,,cter LEGAL DESCRIPTION — SEE ATTACHED 0 2 * * 3 8 0 0
LOT BLOCK SUBDIVISION ,�, I/ PARCEL NUMBERS tY * 3 0 0 trip
2. 7 I ric9 � '� ' �� � - `j4ol ���`[TJ, * 3 8 0 0
OWE PHONE
3. K' ' 7 L-I ti 1 `,26-Z- A * o : cl U
ADDRESS, ZIP Actual Set Backs in Feet
Sc 17 I,?, V "izefi 47,037 North 'South 31.5 East Iwest I 62 4 9 2. 3 g.
CONT okkgir A PHONE Size of Parcel Zone Classification
r 5_ ' 0 R
4. ADDRESS ZIP Typ const. Occupancy Sprinklered 2 6.4 7 9
Z' ❑Yes ❑No ❑ Req'd.
DESIGNER PHONE Valuation Building Area in . Ft.
5. iL 0+' .3014 q-'
ADDRESS ZIP Main Floor Upper Floors Garage A ea Storage
3 Y,z--
CHANGE OF USE FROM TO Area of Decks Finished Basement Unfin. Basement
6. _- —
TYPE ,,// No.Baths No. Stories No. Rooms No. of Dwellings
❑ W ❑ ALT. EI AD'N. 0 RPL. 0 MVE.
7, OF �/ 0 OTHER
WORK 1 BLD. 0 PLMB. 0 MECH. 0 M.H. ❑ POOL CERTIFICATE Req'd. Recd. No 'd.
of EXEMPTION
DESCR BE WORKEnum. Dist. I Location (Area) 1
8. 6 7 1(%' icKI FEES COLLECTED
VALLA4ION SOURCE GAS EL TRIC WA ER SEWER
OF �/� Ownership USE CODE
9. UTILITIES T( 'J Public ID 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 2
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 regulat•• • struction or the
performance of construction.SEE REVERSE SIDE FOR REQUIRED INSPECTION A Plumbing
DATE OF APPLICATIO ��/: • • SIGNATURE OF APPLIC•'•'' .i.:.: - .... Mech.
SPECIAL APPROVAL S"ECIALONDITIONS://'' L
NAME DATE J '' t 1 �'/ -Kr'
7Y FZ iaac"1o ) Plan Check
Env. Health 1/� t 'I7 I�/ 7 v //1 /51
Planninge61S'i 1'vp�{JV/'� a
L
Fire Marshall Mobile Home
I.J.
Co. Engineer Other(Specify)
kiOjr 130 a .
Utilities
TOTAL $
Exa.1fe
4 � WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA C ecklist THIS BECOMES A PERMIT.
r
Buil.i . TAW r PERMIT IS NONTRANSFERABLE 0 5��..�. Qr'''8'1 4 9 2 4 2 * 8,0 Q a
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL
. .
4114 -,:7 4" 77
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