1980, 12-12 Permit: 80B-4826 CarportPLAN NUMBER
1)
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.
JOBA�D,DRE55
LOT ff / // SUBDIVISION 1/\
' 1-40:A/e14. 6F ‹
BLOCK
LEGAL DESCRIPTION - SEE ATTACHED
2.
OWNER I
3 L� AIRh hi LL B✓
ADyDy.%%RESS0 A L,KI
CO�RACT
4.
ADDRESS
HONE
%'8 ,2e7
7:)-71'2G2
PHONE
PARCEL NUMBER /S
ZIP
Actual Set Backs in Feet
North 2 ISouth<-4 East IWest lel
Zo a Classifica on
Sp , nklered
❑Yes ❑No ❑ Req'd.
Size of Parcel
19-4-.50 x S16 -
Type Const.
Occupancy
MI
DESIGNER
5. ADDRESS
PHONE
Valuation 0 (Building Area in q. Ft.
33
ZIP
Main Floor
Upper Floors
Garage Area
Storage
CHANGE OF USE FROM
6.
TYPE
7. OF
WORK
TO
Area of Decks
Finished Basement
Unfin. Basement
NEW ❑ ALT. ❑ AD'N. ❑ RPL. ❑ MVE.
VBLD. ❑ PLMB. ❑ MECH. El M.H. ❑ POOL
❑ OTHER
No. Baths
No. Stories
No. Rooms
No. of Dwellings
DESCRIBE WORK
8. rU
VALUA ION
9.
SOURCE
OF
UTILITIES
(i><
ELECTRIC
GAS
CERTIFICATE
of EXEMPTION
Enum. Dist. I Location (Area)
Req'd.
WATER
S
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 INSPECTIONS
DATE OF APPLICATION__ SIGNATURE OF APPLICANT
Rec'd.
Not R•q'd.
i✓�
SPECIAL APPROVALS SPECIAL CONDITIOr
L gib r J i tJ� Inc t ► J
lg K tP ,b
NAME DATE
Env. Health
i a m _ D- /624
Pla n.
e Mars aIr'
Co. Engineer
Utilities
Plans Examiner
SEPA Checklist
717y4,15 Kiar
-' 1C?Ce550(:7 27 ,c7 4--
PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
FEES COLLECTED
Single $
Building
Plumbing
Mech.
Plan Check
SEPA
Mobile Home
Ot er (Specify/ 4-4
TOTAL $
4
PERMIT NUMBER --1
g-o
02* *8800
*8800
482.52
12-12-80
6479
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
12i 2.!` /0 4826'ZI
DATE ISSUED PERMIT NO. TOTAL
*88.00aII--
r
0
c�
LLI
terf
Iu' 8
1\6741-r