1981, 03-11 Permit: 81A-2316 Addition GaragePLAN hil,JMBER'
3////k/
APPLICATION/PERMIT
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKAiIE, WA ;HINGTON 99260 / (509) 456-3675
APPLICANT:
COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3 COPIES
1.
2.
3.
4.
JOB ADDRE t^Szn -rR
LEGAL DESCRIPTION - SEE ATTACHED
LOT
5
BLOCK
3
SUBDIVISION
01YRCIU Estr1-TES 4.
OWNER
ADDRESS
E . t002b 4621-A
CONTRACTOR
SAME.
ADDRESS
S �ry�E
DESIGNER
5. ADDRESS
PHONE
x%20 5 Ye[
PARCEL NUMBER/S
OrO
ZIP
Qq2. x
Actual Set Backs in Feet
North 'South
East West Ze'1
PHONE
Size of Parcel
15b JCZA
Zone Classification
ZIP
Type Const.
Occupancy
Sprinklered
❑Yes ❑No ❑ Req'd.
PHONE
ZI P
V,jluation
Main Floor
Building Area in Sq. Ft.
2_3J
Upper Floors
Garage Area
2Qc
Storage
CHANGE OF USE FROM
6.
TO
Area of Decks
Finished Basement
Unfin. Basement
TYPE
7, OF
WORK
/,/NEW PIS ALT.
Ind BLD. D PLMB.
AD'N.
❑ MECH.
❑ RPL.
❑ M.H.
❑ MVE.
❑ POOL
❑ OTHER
No. Baths
No. Stories
No. Rooms
No. of Dwellings
CERTIFICATE
of EXEMPTION
Req'd.
Recd.
DESCRIBE WORK
8. ADL11Y► G :1 r £ A(2136.L. W I i t4 L A(3
Enum. Dist.
ILocation (Area)
VALUATION
Li
SOURCE
OF
UTILITIES
GAS
ELECTRIC
WATER
SEWER
ScPTI c
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 worl , will be complied with whether specified herein or not. The granting of a permit does not presume
to gives 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
DATE OF APPLICATION /5.7 SIGNATURE OF APPLICA
SPECIAL APPROVA SPECIAL CONDITIONS:
NAME ■ATE
En,J Ith
=tic) 3//j
Planning
Fire Marshall
Co. Engineer
Ni-oRC 03 . e)LS 11A,
Utilities
Plans Examiner
Ii4'r p
SEPA Checklist
Building Technician
PERMIT IS NONTRANSFERABLE
No�eq'd.
FEES COLLECTED
Single
Building
Plumbing
Mech.
Plan Check
SEPA
4 lead
/Mobile Home
Ot er (Specif
TOTAL
$5/0,&)
PERMIT NUMBER
02* *2800
* 2800
*28006
A *0.00 8
231,22
03-1 1 i-81
6479
13* *2800
* 2800
* 2800
A *000
231.3
03-1 1 ,-81
g 647
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
0 '3j.-}' i- k H 11
2 316 5
*56.00a.0 -
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL
41.,16