1981, 03-23 Permit: 81A-2682 Garage PLAN NUMBS-R APPLICATION/PERMIT PERMIT NUMBER
67/ 3/, / SPOKANE COUNTY — BUILDING CODES DEPARTMENT �� �CnBZ
0/
NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3 COPIES
JOB ADDRESS LEGAL DESCRIPTION - SEE ATTACHED
1. E. 11 LC) CIC"
LOT BLOCK SUBDIVISION PARCEL NUMBER/S 0 2* * 4 4.C 0
2. 1 1 U,O DLA A 'N nt iPCg rC
OWNER PHONE 2.4a34--d7z6 * 4 4. C 0
3. Ca.E02,ALO -.2EttE,► SZ-Z- 20 * 4 4. C 0 c
ADDRESS ZIP� Actual Set Backs in Feet
� ZI
G , -7i 41'14 2a, North 'South 3, East (West 3 A * 0 0 0 0
CONTRACTOR PHONE Size of Parcel Zone Classification
4. siovle X G u 156 A . � c3 taeon) 2 6 8 1
ADDRESS ZIP Type Const. O cupancY Sprinklered
SiOrIMfc StJ .1 ayes ❑No ❑ Req'd. 0 3- 3-8 1
DESIGNER PHONE Valu lon Building Area in Sq. Ft. g. 64 7 9.
26
5. ADDRESS ZIP Main Floor Upper Floors Garage Area Storage —
b8
CHANGE OF USE FROM TO Area of Decks Finished Basement Unfin. Basement
6.
TYPE ��-��{{ No. Baths No. Stories No. Rooms No. of Dwellings
L�'J NEW ❑ ALT. 0 AD'N. 0 RPL. 0 MVE. --
I
7. OF 0 OTHER
WORK �[J BLD. 0 PLMB. 0 MECH. 0 M.H. 0 POOL CERTIFICATE Req'd. Rec'd. Not47d.
of EXEMPTION
�D1ES�C_RIBE WORK i Enum. Dist. I Location (Area) T
8. i iet AC.. o Saazf�1 e LI'U IQr3 I FEES COLLECTED
s0VALUATION SOURCE GAS ELECTRIC WATER SEWER Ownership ' USE CODE
9.0.45z6 UTI LLITIES 6Cdyi 1L. Public 0 Private NiSingle $
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 #44.DG -
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
i
� - P _/!
DATE OF APPLICATION SIGNATURE OF APPLICANT / Are - Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE Plan Check
Env. a
�� 3 SEPA n_
PlannTnr,
—
r)
w
Fire Marshall Mobile Home -_-1
ii
Co. Engineer Other(Specify)
N!J= 12.rLato el(f5i'TWCi 1MIka
Utilities
TOTAL $*,OO
Plans Examiner
6T fZY1• WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist THIS BECOMES A PERMIT.
s.
Building Technician PERMIT IS NONTRANSFERABLE 0 13;';2'4,71H. 2 68.21 . *4 40.0 R i
9#7C" PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE .
DATE ISSUED PERMIT NO. TOTAL
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