1981, 04-27 Permit App: 81A-3983 GaragePLAN NUMBER
4/e'/g/
APPLICATION/PERMIT
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
JOB ADDRESS
1. E.. /05/o
LOT
2. 3
BLOCK
D
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
CHINoo{c
SUBDIVISION
LEGAL DESCRIPTION — SEE ATTACHED
04E ST6P-- 141/LS APPI ofd.
PARCEL NUMBER/S Z55-4 f - O' 03 -2.
3.
OWNER
,10 NN 1-1 E_Km i cicsA
ADDRESS
PHONE
1d 2- 76
It%510 Gi4INOOK
CONTRACTOR
4. PAc1Fic co1UIfActg.S
ADDRESS
13IX 1061 PAR w/V1W.. `7loN
DESIGNER
5. ADDRESS
6.
ZIP
cli206
PHONE
534 -4 30
Actual Set Backs in Feet
?/
North RL (South ,fid
ZIP
`192.i1
Size of Parcel
/ 76X/60 APP
Type Const.
v-r�
PHONE
CHANGE OF USE FROM
ZIP
East S West
Zone Classification
Occupancy
M-1
Valuation
a 777 -7( exX
Main Floor
Sprinklered
Dyes ❑No ❑ Req'd.
Upper Floors
Building Area in Sq. Ft.
1zc
TO
Area of Decks
Garage Area
12`16
Finished Basement
Storage
Unfin. Basement
TYPE
7. OF
WORK
2" -NEW ❑ ALT.
L7 BLD. ❑ PLMB.
❑ AD'N.
❑ MECH.
❑ RPL. ❑ MVE.
❑ M.H. ❑ POOL
DESCRIBE WORK
8. 60kRAC-i—DE—TAcNEQ (36' x 36
VALUATION SOURCE GAS ELECTRIC
OF
UTILITIES
9. V77761
❑ OTHER
No. Baths
No. Stories
No. Rooms
No. of Dwellings
CERTIFICATE
of EXEMPTION
Req'd. Rec'd.
Not Req'd.
Enum, Dist, I Location (Area)
WATER
SEWER
Ownership
Public 0 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 INSPECTIONS
DATE OF APPLICATION 4/ +Z7-0 SIGNATURE OF APPLICA
SPECIAL APPROVALS
NAME DATE
Env h
Planning
Fire Marshall
Co. Engineer
CA ii/27/g/ ,EX/5i/N6
Utilities AWA
Plans Examiner
SEPA Checklist
Building Tec niciapt
// na,//
SPECIAL CONDITIONS:
Nin
UE.PcirrioNop LISENc _ rXrleAll G/91$D
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RES/DE,Voz
RLVE
P&A., a Af
PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
FEES COLLECTED
Single $
Building
Plumbing
Mech.
Plan Check
SEPA
Mobile Home
Other (Specify)
v 00
TOTAL $ (+a1 'Sy
PERMIT NUMBER
FJA— 3'780
02* *68.00
*6800 N
*68.00
A *000 8
39828
04-27-81
6.479
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
04'1-2"7-' 1
DATE ISSUED PERMIT NO. TOTAL
398,32 *68,000
>-
0
0
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