1981, 07-08 Permit: 81A-6793 Remodel 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
1.
2.
3
4.
JOB ADDRESS
LO T
1432 V4 L 1
BLOCK
UBDIVISION
ILEGAL DESCRIPTION - SEE ATTACHED
OWNER
dor c�� i,J.1ESrv; e
ADDRESS
C . (451? Wc,(_( �!
CONTRACTOR
PHONE
aaCD-37s'
ZI P
c{c{Zt G,
PHONE
PARCLrL NUMBER /STniTvac`Q B`+
�U. ZC.c“Ad GF N ilt' exc. 5.53` Ot
XG. vtt-Ciel bi= IN.C,3' bZa-kZ`1
Actual Set Backs in Feet rt ✓U('1
North 'South East
West
ADDRESS
ZIP
Size of Parcel Zy9n'e Classification RA CLA.C.:CLA(24/4
Type Const.
Occupancy
,
Sprinklered
❑Yes ❑No ❑ Req'd.
DESIGNER
5.
ADDRESS
PHONE
Va1uat' n
�Z;�d
Building Area in Sq. Ft.
6,00
ZI P
Main Floor
Upper Floors
Garage Area
Storage
CHANGE OF USE FROM
6.
TO
Area of Decks
Finished Basement
Unfin. Basement
TYPE
7. OF
WORK
❑ NEW ❑ ALT. ❑ AD'N.
((BLD. ❑ PLMB. ❑ MECH.
RPL.
❑ M.H.
❑ MVE.
❑ POOL
❑ OTHER
No. Baths
No. Stories
No. Rooms
No. of Dwellings
CERTIFICATE
of EXEMPTION
Req'd.
Rec'd.
Not Req'd.
DESCRIBE WORK
oe7 P- OtiE
VALUATION
9.
mo
I)
SOURCE
OF
UTILITIES
GAS
(-CALL_ Rt, C to - I✓
ELECTRIC
WATER SEWER
Enum. Dist.
Location (Area)
Ownership
Public ❑ Private
USE CODE
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
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 APPLICATIO
wt 1- '
39 1
SIGNATURE OF APPLICANTA' ` R.
SPECIAL APPROVALS
NAME DATE
Env. Health
Nor
Planning
Fire Marshall
Co. Engineer
NEST • CO
'Utilities
Plans Examiner
SEPA Checklist
Building Technician
44aV
SPECIAL CONDITIONS:
(111ATtt4 E)':15r(Nc,
PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
FEES COLLECTED
Single $
Building °OZ, 00
Plumbing
Mech.
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL $ • . vv
PERMIT NUMBER
so --62 74
G2* *32.00
* 3200 17)
* 32.006
A *0.00
679.2
07-08-8,1
z 6479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
0`7-0 a 81
DATE ISSUED
679.35 *32000
PERMIT NO. TOTAL