1981, 08-04 Permit: 81A-7775 Garage PLA" NUMuER APPLICATION/PERMIT PERMIr{�4fhBlit�
SPOKANE COUNTY — BUILDING CODES DEPARTMENT G,/Si
(1,1 ,,, NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3 COPIES
JOB ADDRESS 14 (� 1 14- AVS , LEGAL DESCRIPTION - SEE ATTACHED
t r 02 r, * 50,00
LOT BLOCK SUBDIVISION PARCEL NUMBER/S G , 13 b or 1j 13.��I I o * 5 0 0 0 ti-.)
2. 71 Y/' / c 3 �'–,` - 1.70_ 'A ' 171 LYc1. � , orF
OWNER CCr .��yy ` \
3. 4...C.) ... 11 CrEcx..( .. PHONE 5 r ���i * 5 0�0 0 UAESS law `�// �, ZIP Actual Set Backs in Feet p * 0.O 0 9
/ �q , 1 a ��y A J `''C&A U- c190.-- -) North I 7 'South / C7/ East /c. / West .i-1CONTRACTOR 7 PHONE Size of Parcel Zone Classification 7 7 7. z
4' ADDRESS�) Ii ZIP Tyge/C nst. Occu dlncy Sprinklered 0 8 [-C` 4-8 1
i y /�)<' tV�.-F 9fla// V t ❑Yes [,2 No ❑ Req'd. 2 6�+ 7 9,
DESIGNER PHONE Valuati nBuilding Area in Sq. Ft.
4'37-0 7. , Q
5' ADDRESS ZIP Main Floor Upper Floors Garage Area Storage _
`77_ 1 —
CHANGE OF USE FROM TO Area of Decks Finished Basement Unfin. Basement
6.
No. Baths No. Stories No. Rooms No. of Dwellings
TYPE
4NEW ❑ ALT. ❑ AD'N. ❑ RPL. ❑ MVE.
7. OF Cl OTHER
WORK aBLD. CIPLMB. ❑ MECH. CIM.H. I=1Not POOL CERTIFICATE Req'd. Rec'd. q'd.
of EXEMPTION
DESCRIBE WORK Enum. Dist. Location (Area) 1
8. Cid_� ,.."E._. ( L� -a A) 0 (�� I FEES COLLECTED
VALUATION- SOURCE GAS `ELECTRIC WA✓✓TE SEWER Ownership USE CODE
9. `J UTILITIES .2erl.IC, Public 0 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 —7 /9 15 /
i SIGNATURE OF APPLICANT ') j 't oc---tMech.
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE rI � l/ Zy. I MP�✓,.
Plan Check
Env h r L �1
<(
J//ct- SEPA
Planning j
I
Fire Marshall Mobile Home
i
Co. Engineer Other(Specify)
Utilities ' TOTAL $ ()
Plant Examiner
k101-- Kt*r). WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist THIS BECOMES A PERMIT.
,; r '1 ,. 1 1.11 :I , • _
aui .' g T- PERMIT IS NONTRANSFERABLE /!`ily . 4� 8�`1' 71717.51 *5.0.0.0 a F
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE`l�WE4l PERMIT NO. TOTAL
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