1981, 04-10 Permit 81A-3354 Garage��,�A i I y//%
JOB ADDRESS
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
OT BLOCKS S UBDI IS OFV;
LEGAL DESCRIPTION — SEE ATTACHED
NER p
ADDRESS
/ r 9
CONTRACTOR
4 .4i/itil_
' ADDRESS
/l/yt r f
DESIGNER
5. ADDRESS
CHANGE OF USE FROM
6.
PHONE
PARCEL NUMBER/S !y�`ry 3 _�
w $ c %'.2 0., . / S� D c r i fit' iC
t1 / n I -'A (-.,q,u;f L 0.7,./l AV, F AAal Ds/
ZIP
PHONE
ZIP
PHONE
ZIP
Actual Set Backs in Feet
Northv0 (South East /�. ' (West �•
Size of Parcel Zone Classification
e: x ,/ei:!
Type Const.
1Z` -V
V7i)uation
T
i
Occupancy Sprinklered
�f / ❑Yes ❑No 0 Req'd.
Building Area in Sq. Ft.
MainFloor I Upper Floors Garage Area
/
Area of Decks Finished Basement
Storage
Unfin. Basement
TYPE
7. OF
WORK
M NEW
❑ BLD.
ESCRIBE WORK
❑ ALT.
❑ PLMB.
ALUATI N SOURCE GAS
OF
UTILITIES
AD'N.
❑ MECH.
❑ RPL.
❑ M.H.
❑ MVE.
❑ POOL
❑ OTHER
No. Baths
No. Stories No. Rooms
CERTIFICATE
of EXEMPTION
Enum. Dist. I Location (Area)
Req'd.
ELECTRIC WATER SEWER
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 author,'ty 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 INSPCC'1FFONS
DATE OF APPLICATION _/ ' �� SIGNATURE OF APPLICANT
SPECIAL APPROVALS
NAME DATE
E
Planning
Fire Marshall
o.Nn veer Q ,
o
Utilities
Plans Examiner
Iz t k Ac s'iI t:WA1T $le/
SEPA Checklist
SPECIAL CONDITIONS:
INo. of Dwellings
Rec'd.
rot Req'd.
>
FEES COLLECTED
Single
Building
Plumbing
Mech.
Plan Check
SEPA
Mobile Home
Other (Specify) 14400
'.
44E-G
TOTAL
PERMITNUMBEEIft
U2* 4,4400
*44.00 17)
*44,006
A *000
335,32
04-10-81
6479,
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
Bui ing Tec niciaR
PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
0141,;14'-'8.1j
DATE ISSUED
335,45 *44002i---2-
PFRMIT NC)
BoA N
(57. 8t'