1981, 03-30 Permit: 81A-2849 Garage, DeckPLAN NUM4rR -
1-i'- /'C
3/30/er
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
/74- "6/
LOT BLOCK S B IV[SIO�I
LEGAL DESCRIPTION - SEE ATTACHED
OWNER
3
DRES
G?l/,7 //l'/ `hE
/O
CONTRACTOR
4. -
D R ESI
DESIGNER
PHONE
PARCEL NUMBER/S •--9,/,!)/171
nr /Vo / QF.S, 2D Qf .=__;'
5. ADDRESS
6.
CHANGE OF USE FROM
TYPE
7. OF
WORK
10 NEW
BLD.
❑ ALT.
❑ PLMB.
DESCRIBE WORK
/VALUATI OI51`,SOU RCE
OF / - �oJ` UTILITIES
ZIP
PHONE
ZIP
PHONE
ZIP
TO
❑ AD'N.
❑ MECH.
O RPL.
❑ M.H.
❑ MVE.
❑ POOL
0 OTHER
Actual Set Backs in Feet
North 7. South.
Size of Parcel
Type Const.
Valuation
Occupancy
Iz /9-/
OO
/
EastI/� West e
Zone Classification
Sprinklered
❑Yes ❑No 0 Req'd.
Main Floor,
/g 751
peer Floors
Building Area in Sq. Ft.
Garage Area Storage
:r
Finished Basement
Area of Decks
No. Baths No. Stories
No. Rooms
Unfin. Basement
/ X ''
No. of Dwellings
CERTIFICATE
of EXEMPTION
Req'd.
Rec'd.
Not Req'd.
- ( lrXi)La
GA ELECTRIC
WATER
SEWER
Enum. Dist.
Location (Area)
Ownership
Public ❑ Private
USE CODE
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
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 INSPECyfOI\)S
DATE OF APPLICATION 3—) -cY SIGNATURE OF APPLICANT
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE
v. Health
Planning
Fire Marshall
Co. Engineer s`
',�
�/f. : V{ 5MA`E -
Utilities
PI s Examin
S A C e c Ij�!
By.kldinA TeWiniciftv
PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
FEES COLLECTED
Single $
Building
Plumbing
Mech.
Plan Check
SEPA
Mobile Home
Other (Specify)
AJ
/
TOTAL $36,4
PERMIT NUMBER
•
02* *36400
*36400
*364.006
A *000 8
284.82
03-30,-81
2 674
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
0 51.6:: 0.78.1
DATE ISSUED
284.9'g 3;464002r -1 -
PERMIT
`6(400ar-1-
PERMIT NO. TOTAL
•
PERMIT NO.
Spokane County
Planning Department
Short Plat
Exemption Certificate
1. WAS THIS PARCEL SEGREGATED BEFORE MARCH 13, 1978, OR WAS APPLICATION
TO SEGREGATE MADE BEFORE MARCH 13, 1978 7
(exempt under section 3.3B5 of Short Plat Ordinance)
2. 15 THIS PARCEL 10 ACRES IN SIZE OR LARGER ?
(exempt udder section 3.3E of Short Plat Ordinance)
YES
3. WILL THIS PARCEL BE USED FOR A PUBLIC UTILITY FACILITY ? YES
(exempt under section 3.364 of Shorts Plat Ordinance)
4. I5 THIS SEGREGATION BEING ACCOMPLISHED TO EFFECT A MINOR BOUNDARY
OR PROPERTY LINE ADJUSTMENT, BUT NOT CREATING ANY NEW LOTS OR
CAUSING OTHER LOTS TO FALL BELOW MINIMUM ZONING STANDARDS FOR SIZE
SHAPE OR FRONTAGE, OR AFFECTING ROAD ACCESS TO ANY OTHER LOTS ?
(exempt under section 3.3H of Short Plat Ordinance)
YES
5. 1S THIS PARCEL ZONED RESIDENTIAL OFFICE, LOCAL BUSINESS, COMMERCIAL,
FREEWAY COMMERCIAL, INDUSTRIAL OR MANUFACTURING ? YES
(exempt under section 3.384 of Short Plat Ordinance)
NO
APPROVED BY: tLt,Ppii 4a4, -d DATE: 3P-0 /Sl
I hereby certify the answers I have offered in connection with obtaining
lb
this exemption are true ..
APPLICANT'S SIGNATURE
oddE
DATE: 3 /_.9/e/
,*
• �IX. n n • n n !, 1 n, H 1.15(1•1IR 11 SPOKAnI nnYONt.Iux 9vee1.1 +.�, v,um ,]o II ' I
n
•
P/ZM0.SEo
i
Pan/Gr /
0)
¥* 7n AV6
L
1
7\
N