1981, 11-25 Permit: 81B-2180 GarageNUMBER APPLICATION/ 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
C
LEGAL DESCRIPTION — SEE ATTACHED
1.` to 33 s
u
u
Other (Specify)
LOT
BLOCK
SUBDIVISION
PARCEL NUMBER/S
2.
kc)t-
OWNER
PHONE
3. C--: 0 Rpt �a
r -qui "�
"Tfv OF a--2�,s43
ADDRESS
ZIP
Actual Set Backs in Feet
C-• to -1 ,, 3
c.(cg2.L,G
North South
East I'7� West
CONTRACTOR
PHONE
Size of Parcel
Zone Classification
T�, y�AC
�. T . V Q-Ij`7
-7�
,)L_ �✓ i✓
; ` X 79C
- 6�lt�J `l\�^ ;- a3
4.
ADDRESS
ZIP
Type Const.
Occupancy
Sprinklered
❑Yes ❑No [:]Req'd.
DESIGNER
PHONE
Valuation
Building Area in Sq. Ft.
5.
ADDRESS
ZIP
Main Floor
Upper Floors
Garage Area
Storage
--
-
3_
-
CHANGE OF USE FROM
TO
Area of Decks
Finished Basement
Unfin. Basement
6.
i c>6 v�-}��
----
TYPE
dNEW ❑ ALT. IdAD'N. ❑ RPL.
❑ MVE.
No. Baths
No. Stories
No. Rooms
No: of Dwellings
i
7
14 BLD. ElPLMB. ElMECH. ElM.H.
El POOL ❑OTHER
CERTIFICATE
Req'd.
Recd.
Not Req'd.
WORK
of EXEMPTION
DESCRIBE WORK Enum. Dist. Location (Area)
FEES COLLECTED
8. T Ac4iE-iD 6 m-p-,p..4CCl3 ta.� �� i t�ri�_t�
A VALUATION SOURCE GAS ELECTRIC WATER SEWER USE CODE
Ownership
9. ��� 7G. UTILOITIEST\L Public ❑Private
Single $
1 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 thisBuilding✓
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
nATF r1F APPI IrATlrll\> /�/ �S �d r SI(;NATI IRF nP APPI IC�NT� �LCN' 1-/i./A_,Lrj Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE
of tR W - i
Fire Marshall
Co. Engineer
Utilities
Plans Examiner
Building Technician PERMIT IS NONTRANSFERABLE
Plan Check
PER'^',IT NUMBER --
02* *388.00
*38.00 (CJ
*38.0061
A X0,00
17,92
1 1- 2 5 - 81
6.4'7 9.
SEPA
n
C
C
Mobile Home
u
u
Other (Specify)
TOTA L $
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
I
2 2 18.0'z
*38.00a�