1981, 06-11 Permit: 81A-5837 Garage PLAN NUMBER
1APPLICATION/PERMIT PERMIT NUMBER
SPOKANE COUNTY — BUILDING CODES DEPARTMENT Si A- /
NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509) 456-3675
ri APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
JOB ADDRESS „,CK LEGAL DESCRIPTION — SEE ATTACHED 2 * * G �;..0 0
1. . Matz- 14 110 * ? 5 0 1
LOT BLOCK SUBDIVISION PARCEL NUMBER/Si
2 Lai, i 4 �.?_[[9 LD1'2 i'3LJci
* c5, CO�
O ER PHONE 15 162.rrU11I1 N
3. �ON L RIA 1 rAL 4Z ;z3
- -►I * a. a o
ADDRESS F,� / /ZwI/P�� / Actual Set Backs in Feet v 8 3 6 2
S. 33tY 'A•imp )O G12. North (South East West
CONTRACTOR PHONE Size of Parcel Zone Classification - 1 1 -8
43PitrtE t O b X t3t3 PtL,. G u au>z5 ) 6 4 7 0
4' ADDRESS r ZIP Type Const.,` Occupancy Sprinklered
gAnnE, la) I-' ❑Yes ❑No 0 Req'd.
DESIGNER PHONE Valu ion Building Area in Sq. Ft.
s. tiSoo ....,-4(14,
ADDRESS ZIP Main Floor Upper Floors Gage Area Storage _
CHANGE OF USE FROM TO Area of Decks Finished Basement Unfin. Basement
6.
TYPENo. Baths No. Stories No. Rooms No. of Dwellings
{� NEW ALT. 0 AD'N. 0 RPL. 0 MVE. "2-
7, OF i BLD. 0 PLMB. 0 MECH. 0 M.H. 0 POOL ❑ OTHER
WORK CERTIFICATE Req'd. Rec'd. Not R�eq'd.
of EXEMPTION ✓
DESCRIBE WORK Enum. Dist. I Location (Area) '
8. I..,UIllaf LikeRbtiel 11) .
-DOUBLE CAre.. etik lYVIE I FEES COLLECTED
VALUATION SOURCE GAS ELECTRIC WATER SEWER Ownership / USE CODE
9A1/SDt) OF
UTILLITIES (�[(G Public 0 Private LrlJ 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 �5_oa
Building
type of work will be complied with whether specified herein or not. The granting of a permit does t presu
to give authority to violate or cancel the provisions of any other state or local law regul. ing consion o the
performance of construction.SEE REVERSE SIDE FOR REQUIRED INSPECTION; Plumbing
DATE OF APPLICATION 6 �!. n / SIGNATURE OF APPLICANT //" — Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS: `,gy/
NAME DATE /���1.0t41E,t1. %WAIL0 n Plan Check
Env. Health
�
DTi"�GQtD SEPA
Planning 0
Mobile Home "-'
Fire Marshall "=J
U-
Co. Engineer Other(Specify)
1\10-c 2EkSl1t
Utilities TOTAL $ 25,c0
Plans Examiner�_^
�-c LCc& O WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist THIS BECOMES A PERMIT.
B (di44IfJ
Technician PERMIT IS NONTRANSFERABLE 8.1!i 5 8 ) 7 z *20 0 d.hJ
�] PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL