HomeMy WebLinkAbout1981, 04-07 Permit: 81A-3149 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
JOB ADDRESS
L c o 3
BLOCK
30
SUBDIVISION
OWNER
3. ;E7 e- IV
ADDRESS c�/
0 CP
rd
/ L,J Ks
1—
PHONE
9Q
LEGAL DESCRIPTION — SEE ATTACHED
PARCEL NUMBER/S v)r4 53 -"ZZU`I-
l3Lk .3 %Myrc.Y Rey'Vrve7 �k
-k /Ldd. Li( st 3:t
ZIP
`19;
Actual Set Backs in Feet
North S.5 I South
East 6 O West Cr,
CONTRACTOR
r f�
4' ADDRESS fj
54, 1
,1:,1
PHONE
3s -9e«
Size of Parcel
9c'x��''
Zone Classification
YKUILSk 'FAAwVt�y
ZIP
99.206
Type Const.
1'— '1;
Occupancy
„A-2 —
Sprinklered
❑Yes ❑No ❑ Req'd.
DESIGNER
5' ADDRESS
PHONE
Valuation
Building Area in Sq. Ft.
S?b "
ZIP
Main Floor
Upper Floors
Garage Area
Storage
CHANGE OF USE FROM
6.
TO
Area of Decks
Finished Basement
Unfin. Basement
TYPE
7, OF
WORK
l$ NEW
Qg BLD.
D ALT.
❑ PLMB.
El AD'N.
❑ 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 WORKvit
8.
VALUATIO7 SOURCE GAS ELECTRIC WATER
� /_
9. �-714 I' UTILITIES
OF
Enum. Dist.
`Location (Area)
SEWER
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 APPLICATION SIGNATURE OF APPLICANT
SPECIAL APPROVALS
NAME DATE
Env. Wealth
/ - .%
I ' ,' Ll.
Planning
Fire Marshall
Co. Engineer
AIA/ /
Plans Examiner
SEPA Checklist
B:44.11,;;
cianry
SPECIAL CONDITIONS:
PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
FEES COLLECTED
Single $
>
Building g 02
Plumbing
Mech.
Plan Check
SEPA
Mobile Home
Other (Specify)
-
TOTAL
PERMIT NUMBER
02* *3800
*38.00
*38,006
*0,00 8
31&8
04=07-8.1
6479,
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
0,*th 7. 81 3149'5 *58:0-0ar--1
DATE ISSUED PERMIT NO. TOTAL
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