1980, 09-17 Permit App: 80B-0408 Garage AdditionNUMBER
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
JOB ADDRESS
1. 1. 7BO €srr
LOT BLO K S DI ISI N
2.
LEGAL DESCRIPTION - SEE ATTACHED
�O , ^
3 N R
�DDRE35 � 4e;
CONTRACTOR
R
4. ApDRESS
DESIGNER
5. ADDRESS
PHONE
yIP "- 7_ L74'y
9g4,24/4'
PHONE
ZIP
PHONE
ZIP
PARCEL NUMBER/S4 7j—d,43 `v 7/ 7
1,4r .2,3 q- w 2 kyr ,(3i. -k,
i Ri O5A. PARK sU,i3
Actual Set Backs in Feet
�" y
North (p.� ISouthyij 7 East, .7 IWest.S
■ Zone Claksification
Size of Parcel
Type Const.
Occupancy Sprinklered
Oyes ❑No ❑ Req'd.
va)paJ 3
ain Floor
CHANGE OF USE FROM
6.
TO
Area of Decks
Building Area i9 Sq. Ft.
Upper Floors Garage Area I Storage
Finished Basement
Unfin. Basement
TYPE
7. OF
WORK
❑ NEW
❑ BLD.
❑ ALT.
❑ PLMB.
AD'N.
❑ MECH.
❑ RPL.
❑ M.H.
❑ MVE.
❑ POOL
❑ OTHER
No. Baths 1 No. Stories
No. Rooms
No. of Dwellings
CERTIFICATE
of EXEMPTION
Req'd.
Rec'd.
Not Req'd.
x
DESCRI E ORK
ALUATIOOI,
G
SOURCE
OF
UTILITIES
GAS ELECTRIC
WATER
Enum. Dist.
Location (Area)
SEWER
Ownership
Public ❑ Private ,K
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 X
SPECIAL APPROVALS
NAME DATE
Env /,�1 th
Planning
Fire Marshall
Co. Engineer
Utilities
94,
Plans Examiner
SEPA Checklist
Bui ing ech icia4z:
i
SPECIAL CONDITIONS:
7{,a-f- 6e .J
-- 6.241— O/ 7 I x r— 7Z0 rJ
0(14-4.411—
PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
FEES COLLECTED
Single
Building
Plumbing
Mech.
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL $r5vCJ
PERMIT NO :'4 ER
'/J � - �7 Jf✓?
02* *5'000
*5'000
*50006
A *'C 0 0
40,72
09- 170-80
61179
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
64941> 8o'
DATE ISSUED
40,85 *'S'0.'00°I- �
PERMIT NO. TOTAL
�f ex /37 /N Lt
REs /.a6Kt:,S
/i
A tJ usrA STREET
N