1981, 02-03 Permit: 81A-1140 Garage1PLAIN NUM131--R APPLICATION/PERMIT
a
PERMIT NUMBER
SPOKANE COUNTY — BUILDING CODES DEPARTMENT�i�
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
0 2 .F *5E • 00
APPLICANT: COMPLETE NUMBERED SPACES - PRESS
HARD TO MAKE 3 COPIES
JOB ADDRESS
I
LEGAL DESCRIPTION —SEE ATTACHED
1. L. 1c(ll) 4'TI
* 5 G. 0 0 1653
LOT
I BLOCK
SUBDIVISION
PARCEL NUMBER/S
2.
23�-I-UD-Z3
A C' O o
OWNER
c.A?- �-, Iaus,
PHONE
QZO-7
3. I r�
1 1 3.9;2
ADDRESS
ZIP
Actual Set Backs in Feet
n
C. t4a I t ��
/�
(r'`c ��
Z 1
North -� South East west 1b
O 2'- O 1
CONTRACTOR
PHONE
Size of Parcel
Zone Classification
`)iarnl✓
i�N x W�)
ISL-,�►cuL,,-ru0-0L
o 6 cI 7.Q
G
4
ADDRESS
ZIP
Type Const. Const.
Occupancy
Sprinklered
L7.ANL
TA
*I- k
❑Yes ❑No ❑ Req'd.
DESIGNER
PHONE
Valuati n{{
Buuuiilldd,ing Area in Sq. Ft.
5'
rt
_
ADDRESS
ZIP
Main Floor
Upper Floors
Garage Area
Storage
CHANGE OF USE FROM
TO
Area of Decks
Finished Basement
Unfin. Basement
6.
I
TYPE NEW ❑ALT. ❑ AD'N. ❑ RPL. ❑ MVE.
No. Baths
No. Stories
No. Rooms
No. of Dwellings
11
7. OF ❑ OTHER
�
CERTIFICATE
Req'd.
Rec77��
WORK BLD. ❑ PLMB. ❑ MECH. ❑ M.H. ❑ POOL
of EXEMPTION
DESCRIBE WORK
8• LIETIiLIJEn (-IAj)ISE LOIT0t Gni i��
Enum. Dist. Location (Area)
FEES COLLECTED
VALUATION SOURCE GAS ELECTRIC WATER SEWER Ownership 1 USEje
s. 511M. UTILOITIES fK TIL Public ❑Private CIJSingle $
1 hereby certify that I have read and examined this application and have read the "NOTICE" provisions in
on reverse side, and know the same to be true and correct. All provisions of laws and ordinances governi
Building<U(�
type of work will be complied with whether specified herein or not. The granting of a permit does not p
to give authority to violate or cancel the provisions of any other state or local law regulating construction
performance of construction. SEE REVERSE SIDE FOR REQUIRED INSPECTION Plumbing
Mech.
DATE OF APPLICATION SIGNATURE OF APPLICANT
SPECIAL APPROVALS SPECIAL CONDITIONS:
U
NAME DATE Plan Check
Env HegIXhh
jL✓ SEPA
i
Planning
c
Mobile Home
Fire Marshall
i
Co. Engineer Other (Specify) -
M PlEbIl7 C-XVb((NG t0. 216f-
Utilities TOTAL $
Plans Examiner
IN THIS SPACE,
(/j L' 3 WHEN MACHINE VALIDATED
SEPA Check ist THIS BECOMES A PERMIT.
Buildin Technician PERMIT IS NONTRANSFERABLE
�l'.3;,�,�8•l
14.0 25.' * 5 6. 0. 0 Qa IJ _
1-
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSU-ED
PERMIT NO. TOTAL
Ts
Sd /
CiS7ir1'� IIIb¢
cera- 8 i 36 LJ l 1 F� .,