1980, 07-07 Permit: 80-6719 Detached GaragePLAN NUS
s
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
,x.4' 72 40010,5
LOT BLOCK SUBDIVISION
LEGAL DESCRIPTION — SEE ATTACHED
OWNER
Kl/GG rr9/n X. !!o ca.JE
PHONE
PARCEL NUMBER /S
// G, r 32' f� j
7$ &N7aa ace , y/9/c/x5
C?2j.Z u9v /
ADDRESS
N. 4 " ?zi 43,9e)75
4.
5.
CONTRACTOR
ADDRESS
DESIGNER
- yt.GGiL� 14tL _�
ZIP
Actual Set Backs in Feet
North AR (off ISouth 27 1East
(West
PHONE
Size of Parcel
� Z / )41 S
Zone Classification
Z /CULTail9G
ZIP
Type Const.
Occupancy
M -1
Sprinklered
Lives ❑No ❑ Req'd.
PHONE
ADDRESS
ZIP
Valuation
&SCcr
Main Floor
Building Area in Sq. Ft.
952
Upper Floors
Garage Area
ei5"L
Storage
CHANGE OF USE FROM
6.
TYPE
7. OF
WORK
TO
Area of Decks
Finished Basement
Unfin, Basement
❑ NEW
❑ BLD.
❑ ALT.
❑ PLMB.
❑ AD N.
❑ MECH.
❑ RPL.
❑ M.H.
❑ MVE.
❑ POOL
❑ OTHER
No. Baths
No. Stories
No. Rooms
No. of Dwellings
8.
DESCRIBE WORK
CERTIFICATE
of EXEMPTION
Enum. Dist. 'Location (Area)
Req'd.
Rec'd.
Not7q'd.
VALUATION
9. ,S1oo
SOURCE
OF
UTILITIES
S
ELECTRIC
WATER
SEWER
Ownership
Public ❑ Private V
USE CODE
I hereby certify that 1 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 7 % - L7
SIGNATURE OF APPLICANT
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE
Env '�lt �
altthh //{
P anning 4_ 7/ 7
Fire Marshall
Co. Engineer
Utilities
Plans Examiner
-TOM a-.E At( %(7J
QS-i ve 8a
SEPA Checklist
BujIdi Technician
�/ /vJ, I i -y 7/8U
477nc / >Eo
CALL WNEN Ar°pf OVW
`k tip
PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
FEES COLLECTED
Single $
Building
-
Mech.
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL $ rTd
PERMIT NUMBEr.
i2 *'74.00
*74.00
*74,006
B *0,00
65632
07-C1-80
2 6.479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
07 Q7 -80 6719°' 4,74,002r-1-
DATE ISSUED PERMIT NO. TOTAL
1
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1
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