1980, 05-10 Permit: 80-4642 Detached GaragePLAN NUMBER
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
1.
2.
3.
JOB ADDRESS
t%. 8-9—n6 ALAI
LEGAL DESCRIPTION - SEE ATTACHED
LOT
BLOCK
SU DIVIS
ION K� N A.
4\k\1
OWNER
ADDRESS 7-0 7 A 1
PHONE
;12,6' — 3407
PARCEL NUMBER /S I t!�{ — t:; 50
Actual Set Backs in Feet_ I3®
North South I'7 East West
4.
CONTRAcgie
PHONE
Size of Parcel 1 Zone Classification
ADDRESS
ZIP
Type Const.
Occupancy
Sprinklered
Oyes ❑No ❑ Req'd.
DESIGNER
5. ADDRESS
PHONE
Valuation 1 Building Area in Sq. Ft.
ZI P
Main Floor
Upper Floors 1 Garage Area
Storage
CHANGE OF USE FROM
6.
TO
Area of Decks
Finished Basement
Unfin. Basement
TYPE
7. OF
WORK
<EW ❑ ALT.
LT BLD. ❑ PLMB.
❑ AD'N.
❑ MECH.
❑ RPL.
❑ M.H.
❑ MVE.
❑ POOL
❑ OTHER
No. Baths
No. Stories
No. Rooms
No. of Dwellings
CERTIFICATE
of EXEMPTION
Req'd.
Rec'd.
Not q'd.
8.
9.
DESCRIBE WORK
("IA l't4c9 ( 2,
VALUATION
SOURCE
OF
UTILITIES
GAS
ELEC $1C
Enum. Dist. I Location (Area)
SEWER
Ownership ,..,//
Public ❑ Private I7�
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 %ermit does not presu
to give authority to violate or cancel the provisions of any other state or local law re •. ating constructon
performance of construction. SEE REVERSE SIDE FOR REQUIRED INSPECTIO S
DATE OF APPLICATION tc e_po
SIGNATURE OF APPLICAN
SPECIAL APPROVALS
NAME DATE
Env. He. th
Planning
Fire Marshall
SPECIAL ONDITIONS:
FEES COLLECTED
Single $
Building �✓��
„Iumbing
(Ad ArT'C
Plans Examiner
'Tom ros-ramm rr
SEPA Checklist
ilding echnician
G
A2/)
PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
tPlan Check
SEPA
Mobile Home
Other (Specify)
TOTAL $
r ERMi f NUMBER
02* *6800
*68:00
*68006
E *0,00
4 6 4, 1 -
05 -10 -80
2 6479,
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
05.- i10 =80 46425 *68.002* -
DATE ISSUED
PERMIT NO. TOTAL
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