1981, 06-09 Permit: 81A-5671 Garage PLAN NUMBER APPLICATION/PERMIT PERMIT NUN 1ER
e•Fi �3� SPOKANE COUNTY — BUILDING CODES DEPARTMENT �1 '`v'
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. L . t311a l2-rk4
LOT BLOCK SUBDIVISION PARCEL NUMBER/S
2. ci Z iWbber2 S Pc 2-k Sue) or —tic ISA. OPP.
OWNER PHONE 7-2_544,-122-2_ 02 * * 5000
3. t4AQOLO 2.iS 61Arr et-26-2.(143 * 5 0 0 0
ADDRESS ZIP Actual Set Backs in Feet
e . I i /t VZx ri ctgztu North ISouthZ5 East l' 'West * 5 0 0 0 6
CONTRACTOR PHONE Size of Parcel Zone Classification a * 0.0 0 co
a. 5Ai1A>t OW 142.14- >Ac21emstia
ADDRESS ZIP Ty e Const. Occupancy Sprinklered 5 6 7,2
SAME ►2=3)f»—% ❑Yes No 0 Req'd.
DESIGNER PHONE Valua n� a Building Areain Sq. Ft. 0 6—0 9—8
5. ADDRESS ZIP Main Floor Upper Floors Garage Area Storage 6 Q 7 9. _
- L1Z
CHANGE OF USE FROM TO Area of Decks Finished Basement Unfin. Basement
6.
TYPE / No.Baths No. Stories No. Rooms No. of Dwellings
LI NEW 0 ALT. AD'N. 0 RPL. 0 MVE. ,
7. OF 0 OTHER -
WORK BLD. ❑ PLMB. 0 MECH. 0 M.H. 0 POOL CERTIFICATE Req'd. Rec'd. Noyeq'd.
of EXEMPTION V
DE RIBE WORK Enum.Dist. I Location (Area) t
8. �A•Ci C�I'�ITL'AC�E' C241(20) FEES COLLECTED
l
VALUATION SOURCE GAS ELECTRIC WATER SEWER Ownership 1 USE CODE
9. DV, UTILLITIES �[ Public El Private yJ 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 445a ba
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 �Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE Plan Check
Env. Health c /q/a l ^� 41-/i:' 6-6 N t V clk I S ScIt()(
o\ (:(-0,"4.C7 � SEPA
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Planning ty\ �;Ren
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Fire Marshall Q.Q.V\7461- 1 \r-®04 •
Mobile Home 14-'
u
LT
X Co. Sty Other(Specify)
Utilities TOTAL $60.00
k( ns Exa, it
/� — WHEN MACHINE VALIDATED IN THIS SPACE,
•
SE Chec- i• THIS BECOMES A PERMIT.
uildi Techni is PERMIT IS NONTRANSFERABLE � �` .I a 1 O J —
./`'1' V U:�'SUED '1 507.1 2 *5 a 0 0 � �
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL
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