1981, 04-03 Permit: 81A-3092 Garage PL AN NUP,BER APPLICATION/PERMIT PERMIT NUMBER
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SPOKANE COUNTY — BUILDING CODES DEPARTMENT „, ,
NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
JOBvow-
ADDRESS _ 3 2 * * 3 8 0 0
1. CIg pp1 • LEGAL DESCRIPTION — SEE ATTACHED
LOT I BLOCK SUBDIVISION PARCEL NUMBER/SCS g7._,0,Z
2. I i_�ia idf .-073 ,e/ K-t- £x.4_. �w� * 3 8.0 0
7/1\1R PHONE
Via,JL-6-7,....d-,L., / r ire c�/4/ at�/ri2!/ T % u> �,�. _� F, * 0 r ;i
3 ADDRESS ZIP Actual Set Backs in Feet 3 0
��/ ��® �y]` u21
, i e./7'2,v A- ./{,I-c -(. ,Z1-4ee r/(z-c-J/e4 . 9 .7_,G North 9.0./ 'South Z.,7" East ./ IWest i I
COiATRACTOR PHONE Size of Parcel / Zone Classification 0 4 0 3—0 1
x l..d. e_4 a-f 71-?—:.:5-i /�•�x•3%'` !( ,r�r��i tu..i-ej :_ 6 4.7 9.
4. it914._ ...1.-/ji.1.-!' eli—C.'- ZIP Type Const. Occupancy Sprinklered
/QJ ! .4.,/r...S�-')' -- 1/7A/ {Mi,—/ ❑Yes ❑No D Req'd.
DESIGNER PHONE V luation ,6, Building Area in Sq. Ft.
5. Cue1 4,4-8�s
ADDRESS ZIP Main Floor Upper Floors Garage Area Storage —
CHANGE OF USE FROM TO Area of Decks Finished Basement Unfin. Basement
6. _____
No.Baths No. Stories No. Rooms No. of Dwellings
TYPE 121 NEW ❑ ALT. ❑ AD'N. ❑ RPL. 0 MVE. i
7, OF ��ll ❑ OTHER
WORK 'E' BLD. 0 PLMB. 0 MECH. 0 M.H. 0 POOL CERTIFICATE Req'd. Rec'd. Not Req'd.
of EXEMPTION X
`DESCRIBE WORKp Enum. Dist. Location (Area)
8. )Z J,a((X gi),,0--llf 5,124 k./V::---i ii U l FEES COLLECTED
VALUATION SOURCE GAS ELECTRIC WATSEWER Ownership USE CODE
/,f 6 OF Public 0Private n�
x X/�- UTILITIES `a 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 Dd
BuildingG�_�—
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 �y Plumbing
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DATE OF APPLICATION //— / SIGNATURE OF APPLICANT
414�Ld,P�i it . .
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE Plan Check
Envalth
ii9 /
�:ie 3//2, SEPA
Planning ;'
— LU
Fire Marshall Mobile Home __I
Co. Engineer Other(Specify)
Utilities
d
TOTAL (se--
Plans Examiner
1C/(iii tobiLiElkiii,rr WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist THIS BECOMES A PERMIT.
en ding TecJ�niciay411' PERMIT IS NONTRANSFERABLE 14'114. �'' 'T8 1 3 9,2 z * a, 0 a. F
,f!/ � k-1 e-_(5.f./7,tdl ie ' PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL