1981, 05-21 Permit: 81A-4965 Garage PLAN NUMBER PERMIT BR
e- �A44-261) 6-7-11/gr SPOKANE
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SPOKANE COUNTY °-2 BUILDING CODES DEPARTMENT
0-...) NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509)456-3675
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES 0 2 * * 6 2: 0 C
JOB A RESS LEGAL DESCRIPTION — SEE ATTACHED %. 0 0 17i
T BLOCK SUB (VISION PARCEL NUMBER/S 245� "' 49-3f4T * 6 2. 0 0 6
2. I �' II.�- I%'�� ►� N� 1 I a/ * 0 0 0
1/2'
3. =?-
ADDRESS 1 (( .�{ ZIP Actual Set Backs in Feet y
1 7 I I -rif North (South �� East IWest '4'Jf� O F- 1 9—8 1
CONTRACTOR PHO E Size of Parcel Zone Classification
�- - ��5 •7. 7 .< I,2-0 to ri- 6. 4 7 9
4' AD REi A _qy�,, Z +�z Type onst. Occupancy Sprinklered
�` IYJ�Yr�� dY M i ❑Yes Ohio ❑ Req'd.
DESIGNER PHONE Valuation Building Area in Sq. Ft.
5.
ADDRESS ZIP Main Floor Upper Floors Garage Area Storage _
-- II ---
CHANGE OF USE FROM TO Area of Decks Finished Basement Unfin. Basement
6. L— --
TYPE ���� No.Baths No. Stories No. Rooms No. of Dwellings
Yd'N w ❑ ALT. ❑ AD'N. ❑ RPL. ❑ MVE.
7. OF ❑ OTHER
WORK LLL BLD. CIPLMB. 0 MECH. 0 M.H. CIPOOL CERTIFICATE Req'd. Recd. Not q'd.
J of EXEMPTION
DESCRIBE WORK Enum. Dist. Location (Area) '
8. „q rp__ 63Z '36`yJ v I FEES COLLECTED
VALUATI N•SOL,RCE GAS ELECTRIC WATER S WER Ownership I USE CODE
OF C' �Ij�
9. UTILITIES l/r 1 r— Public ❑Private
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 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
DATE OF APPLICATION SIGNATURE OF APPLICANT F_____ T ( _____ Mech.
SPECIAL APPROVALS SPECIAL NDITIONS:
(/ V` (/ qe5,....z/02......
Plan Check
NAME DATE GL'l Wr i. r, ! /f _ 71 Env.,IHealthy `(i J
NQ� I/S t!`1f ° • tn,1y qs SEPA a
Planning '"� � �� i O
C..
Mobile Home w
Fire Marshall
Co. Engineer Other(Specify)
Utili es
TOTAL $
laps Examiner }
TO -p 5--fir M1-i"/� WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist �TTHIS BECOMES A PERMIT.
Build' g Chian PERMIT IS NONTRANSFERABLE .015,-2%
0'15, 'Z,1.`..8;ii 495 Z *6 2,0.0 a F
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL
11
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