1981, 06-04 Permit: 81A-5482 Garage PLAN NUMBER APPLICATION/PERMIT PERMIT NUMBER
SPOKANE COUNTY — BUILDING CODES DEPARTMENT gi A 5-407
0.,) NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509)456-3675
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
JOB ADDRESS uC 'k it C 6 O O
500C 19 LEGAL DESCRIPTION — SEE ATTACHED
ir ` ( rri
LOT BLOCK SUBDIVISION PARCEL NUMBER/S Z35 2 �rOjiia
2. c9 I * 26OOy
3. OwN b �-rA�.1 )/ 53+ - 1'2,36 n. o
ADDRESS /^ y�. �/� ZIP Actual Set Backs in Feet =� 4 5 60
500 tL/ ��- 6'Ci� C/ North &Q 'South East IWest 3
CONTRACTOR n� �` � II P ON Size of.Parcel
Zone Classification '^_ 06-04—F1
4. �i'r�UK - 0Z X 1 5 K io-14. 1400 v 6479
AD ESS 5 5c, m� P � Type�onst. 04cppancy Sprinklered
N, 3 V n/I I Oyes ❑No 0 Req'd. ,
DESIGNER PHONE Valuati1 00
BuildingBain Sq. Ft.
4.
5' ADDRESS ZIP Main Floor Upper Floors Garage Area Storage _
._ — 49, a
CHANGE OF USE FROM TO Area of Decks Finished Basement Unfin. Basement
6. __
TYPE / No. Baths No. Stories No. Rooms No. of Dwellings
ILd EW 0 ALT. 0 AD'N. 0 RPL. 0 MVE.
7. OF 0 OTHER
WORK VBLD. 0 PLMB. 0 MECH. 0 M.H. ❑ POOL CERTIFICATE Req'd. Rec'd. Not Re '
of EXEMPTION
8 DESCRIBE WORK ��O ��) W%r� I f ' ,Q Enum.Oist. (Location (Area)
���/ (�VI{�t� FEES COLLECTED
I
VALUATICN SOU CE GAS ELECTRIC WATER SEWER Ownership SE CODE
OF
9. UTILITIES C Public 0 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 Building eJ
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� � Plumbing
DATE OF APPLICATION / "3— / SIGNATURE OF APPLICANT�i'/ r// Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE Plan Check
Env.
t�Z6i'T/� /� SEPA n_
Planning a
Mobile Home
Fire Marshall -1
it
Co. Engineer Other(Specify)
NC ? o
Utilities
TOTAL $ c9
Plans Examiner
NoT P-00 Q WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist THIS BECOMES A PERMIT.
•
ing Tec is PERMIT IS NONTRANSFERABLE ': ! l'' +f� 'I + `d' O J
0' �!}4 .,8�1 5 H.6 Z; *'2 6.0'0 2 Pi
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE'ISSUED PERMIT NO. TOTAL
ofe 5-00C i e e-o-r. _
os
$o
0Li5 'e. A-4
3e
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INN
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Pdo d G SY c or.N Ave
Pdre= / 23S3.2.- /sos— c Spo�a ,-, W d
Sirayu r s r: A 44
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L G 8/s N 30111111..4
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