1981, 02-04 Permit: 81A-1166 Garage PLAN NU*MBEP. APPLICATION/PERMIT PERMIT NUM'
`V /11/( 0(A I [(_'/(2. 1
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
1. �i- s�,� �'/ �Co 02 * * 44.00
LOT BLOCK SU IVISION PARCEL NUMBER/S 2...+ }
2. 1.c., o..' i-f �e9�, hgr6- - O cec, * !4 L C
OWNER PHONE * 4 4,0 0
ADDDRESS + �(� ff- ZC��}P / Actual Set Backs in Feet /� * u 0 w 0
( ' ' I I.7 1 ? 1^� /2C-)- 7 North 'South r)() East 'West.-C)
CONT AC O PHONE Size of Parcel Z ne Clasysifica iioon� y� 1 0 7.3 5
' � �X ice. eNYC 1L % -
4' ADDRESS i ZIP Type Const. Occupancy ��{{{{ Spr nklered 0 2-0 2-8 1
V k .i I ❑Yes ❑ o ❑ Req'd. -2 6 4 7 9,
DESIGNER PHONE Valuation Building Area in Sq. Ft.
5. 5-7(. ,5-7
ADDRESS ZIP Main Floor Upper Floors Garage Area� Storage _
-7/.„/
CHANGE OF USE FROM TO Area of Decks Finished Basement
� Unf n. Basement
6.
No.Baths No. Stories No. Rooms No. of Dwellings
TYPE
❑ N W ❑ ALT. IZD'N. El RPL. 0 MVE. ` i
7. OF ❑ OTHER CERTIFICATE Req'd. Rec'd. Not q'd.
WORK Illttt BLD. ❑ PLMB. CI MECH. 11 M.H. CI POOL
of EXEMPTION
DESCRIBE WORK /�✓ \ Enum.Dist. I Location (Area) FEES COLLECTED
VAL,U,/ATION SOURCE GASELIECTRI WATER SEWER Ownership /USE CODE
9.A1 2)454‘..,
UTILITIES V ... 14,-11c.„.. Public 0 Private f�dl
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 --� 5` SIGNATURE OF APPLICANT /') 11/1"--C"---19Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE Plan Check
� • :3 / SEPA o_
Planning 0U
Mobile Home lU
Fire Marshall J
tr-
Co. Engineer Other(Specify)
Utilities TOTAL $
P. .mi , c
villiti WHEN MACHINE VALIDATED IN THIS SPACE,
SEP' Check ' THIS BECOMES A PERMIT.
A 11
\ Buil chnl�ian A r ') PERMIT IS NONTRANSFERABLE 0 `2 ;,�,'&�48 1
r ' 1'1 6,6 z *4'4,0,0 a F _
F r J J62 PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL
L67-I
-3
,=0 &V7 Accr
121
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