1981, 09-22 Permit: 81A-9648 Garage Addition PLAN N. APPLICATION/PERMIT PERMIT I$UMBEk=
SPOKANE COUNTY - BUILDING CODES DEPARTMENT
1) NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509)456-3675
SLI/�� APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3 COPIES
JOB ADDRESS LEGAL DESCRIPTION - SEE ATTACHED %'. * * 1 4, 0 0
LOT BLOCK SUBDIVISION PARCEL NUMBER/5 -7 ,; 50 * 1 ,i 'r.: C
2. 1.-1-I V,"Cr V5-r -7.> (die
=` 64. A '
OWNER,AE4 7 PHONE
'in
3 ADDq iESS ZIP /� Actual Set Backs in Feet (4:7.. - 2-r) 12-- G `f North 'South East T Iwest - 6 4 7 9
r
CONTTq�, PHONE Size1 of Parcel �� Zone lassification /�
�JIyU� l/.)X cy 6�� '_ '
4' ADDRESS ZIP Type C,nst. Oc4p�ncy Sprinklered
vlq�Y,
Oyes ❑No ❑ Req'd.
DESIGNER PHONE Valuation Area in Sq. Ft.
79 �_ i
5' ADDRESS ZIP Main Floor Upper Floors Garage Area Storage -
—
13 —
CHANGE OF USE FROM TO Area of Decks Finished Basement Unfin. Basement
6.
No.Baths No. Stories No. Rooms No. of Dwellings
TYPE ❑ EW D ALT. ( D'N. ❑ RPL. 0 MVE.
7. OF 0 OTHER
WORK ILD. 0 PLMB. 0 MECH. 0 M.H. 0 POOL CERTIFICATE Req'd. Recd. Not eq'd.
of EXEMPTION
DESCRIBE WORK Enum. Dist. Location (Area) 1
8.
.. > `` ii 6 O aI C,> '.7" ) FEES COLLECTED
VALUATION SOURCE GAS ELLE RIC WATER SEWER.. Ownership SE CODE
OF
�
9. UTILITIES 1Public 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
VDATE OF APPLICATION ?-a/- �!'� / SIGNATURE OF APPLICANT f /, d t • ''— '''�'' _ Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE Plan Check
En H th
2li^G��,.1 ( SEPA - s
n a
..a
Mobile Home '
Fire Marshall LL
Co. Engineer Other(Specify)
Utilities
TOTAL $
Pia Exne r
i WHEN MACHINE VALIDATED IN THIS SPACE,
SEP..Checklist THIS BECOMES A PERMIT.
B . PERMIT IS NONTRANSFERABLE 9i— ''-!S l 9 6 4 8 * Q J
amL.T PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. l �TOTTALF
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