1981, 04-23 Permit: 81A-3846 Addition to GarageAPPLIGATION/ PERMIT
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
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
LO BLOCK SUB IVISION III PARCEL NUMRER/S i7 -i - /'4 .C—
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE Plan Check
Env alth/ F1 9,6 W/44 C g,6;j?Vl/�'EO 4A/ iei£5r Wi}ti,A-
Planning
17-711 �6 SEPA
Fire Marshall Mobile Home
eer
ilities
ans
st
PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
Other (Specify)
TOTAL $ D
PERMIT NUMBER
VA
02-1" *31.00
(31.00
*31.001
A *0,00 00
384,522
04-23-81
22 6,479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
DATE ISSUED PERMIT NO.
*310:0 (L -
TOTAL
PHONE
Z.;1
/
EWNER
3.
—SCS79E
ADDRESS
ZIP/
Actual Set Backs in Feet
/
���
!
%
North South /J� East
West �•2/
C RACTOR
PHONE
Size of Parcel
Zone Classification
1 k /:Z 7
4.
A DRESS
ZIP
Type Const.
Occupancy
I Sprinklered
-n%
M-/
[--]yes [-]No ❑ Req'd.
DESIGNER
PHONE
V luation Oro
Building Area'in Sq. Ft.
5.
�/—'
v6 ApvirldA/
ADDRESS
ZIP
Main Floor Upper
Floors
Garage Area
/
Storage
CHANGE OF USE FROM
TO
Area oLDa4s
Finished Basement
Unfin. Basement
6.
TYPE NEW ❑ ALT. DO AD -N. ❑ RPL. ❑ MVE.
No. Baths
No. Stories
No. Rooms
No. of Dwellings
7, OF ❑ OTHER
WORK 1:1BLD. ❑ PLMB. ElMECH. 1-1M.H. 1:3 POOL
CERTIFICATE
Req'd. I
Recd.
Not Req'd.
of EXEMPTION
DESCRI E WORK
8. "
Enum. Dist.
Location (Area) FEES COLLECTED
r)- 10
SOURCE
OF
GAS
ELECTRIC WATER
SEWER
Ownership
E
�U
UTILITIES
Public El Private JQSingle
$
I hereby certify that I have read and examined this application and have read the "NOTICE" provid
on reverse side, and know the same to be true and correct. All provisions of laws and ordinances is
d�
1presume
type of work will be complied with whether specified herein or not. The granting of a permit doeeto
Building_
give authority to violate or cancel the provisions ofany other state or local law regulating consteperformance
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 alth/ F1 9,6 W/44 C g,6;j?Vl/�'EO 4A/ iei£5r Wi}ti,A-
Planning
17-711 �6 SEPA
Fire Marshall Mobile Home
eer
ilities
ans
st
PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
Other (Specify)
TOTAL $ D
PERMIT NUMBER
VA
02-1" *31.00
(31.00
*31.001
A *0,00 00
384,522
04-23-81
22 6,479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
DATE ISSUED PERMIT NO.
*310:0 (L -
TOTAL
TN A V
�x�sriN�