1981, 03-11 Permit: 81A-2324 Garage PLAN NUMBER APPLICATION/PERMIT PERMIT NUMBER
SPOKANE COUNTY BUILDING CODES DEPARTMENT
LYNORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
JOB ADDRESS ,_; t_ * * 5 6 0
1. ;7,-- , L_EGALDESCRIPTION — SEE ATTACHED
/ lac_ * 00 17)
-LOT 1BLOCK BD I I �,l/ PARCEL NUMBER/S �4.---.573 f�_�/7� /
2f'-Z`'=1 (� iii, ---R:- JY., ,(1,-.1,/,-,41. ,( A .� r -.3 i'4-/( C. _
OWNER PHONE l_ r,. 1
dd2
3. //�/�/;C r✓e2, '�kr7/J in ,,,,f - /�PiA'E ,i-i_ iz,iaTs' Art, - 11
ADDRESS ZIP Actual Set Backs in Feet 6. 4 % 9
1-2. : .0 Gr ,(�f ,,0 kj p. -44.f.i_ '-7c� lri North 7 'South v3 East / ' 'West .
CO TRACTOR c PHONE Size of Parcel Zone Classification
DRESS ZIP Type Const. Occupancy Slrinklered
!,/! V—A/ A'?—a ❑Yes ❑No ❑ Req'd.
DESIGNER PHONE V ation y 4�J Building
�Area in Sq. Ft.
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 W7 NEW ❑ ALT. ❑ AD'N. ❑ RPL. ❑ MVE. / ,
7, OF ❑ OTHER
p�
WORK Ste! BLD. CI PLMB. 0 MECH. 0 M.H. ❑ POOL CERTIFICATE Req'd. Recd. Not Req'd.
of EXEMPTION X
ESCRIBE WORK , . Enum.Dist. Location (Area) T
8f /I � ' ( �, I FEES COLLECTED
VALUATION SOURCE GAS ELECTRIC WATER SEWER
� � ��J OF Ownership USE CODE
,9.`4--f�-,c17" UTILITIES Public ❑Private X Single $
I hereby certify that I have read and examined this application and have read the "NOTICE" provisions included l)�' _
on reverse side, and know the same to be true and correct. All provisions of laws and ordinances governing this Building �-
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
`' >, o
DATE OF APPLICATION=f" %
- '/ SIGNATURE OF APPLICANT X' �1 htaA_X A., -1).-0.+w.,,c.,. Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS:
[y/,�n / NAME DATE �, // n Plan Check
Enviyi aR � �fQ ��YJJ//�R 'td •
SEPA ',_.
Planning -) -
Fire Marshall Mobile Home A
r„,„-Co. Engineer Other (Specify)
I/ y1 �I/J
Utilities
TOTAL $ ‘);
Plans Examiner
IV I 3o -r(„Ekok`-r 3/14 Jc, WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist THIS BECOMES A PERMIT. a
Buuiillding/Technician,r f-� PERMIT IS NONTRANSFERABLE 0 3�, . 111;i4 '1'' 2�3 41 *5.6, 0 0 d F -
�`.004 ,/ ,,A.i_ � PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL
--- -----
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