1980, 08-08 Permit: 80-8296 Garage AdditionPLAN 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
SUBu ISION�
JOB ADDRESS
1 LOT _} BLOCK
2.
3
NEW e, atizotiti
,/4-e �J
PHONE
q
ZIP
ADDRESS - r
CONTRAC OR
4' ADDRESS
DESIGNER
LEGAL DESCRIPTION - SEE ATTACHED
PARCEL NUMBER /S
T3.t/«
_LA 13AERRY PitRt
Actual Set Backs in Feet
1South .7.1-/•1 1East - f West - 1 d
North
PHONE
Size of Parcel
A
4.) AS"'
ZIP
PHONE
Type Const. I Occupancy
Z ne Classificatjon
prinklered
❑Yes ❑No ❑ Req'd.
Valuation (Building Area in Sq. Ft.
5' ADDRESS
ZIP
Main Floor
j r'7
6.
CHANGE OF USE FROM
TO
Upper Floors I Garage Area I Storage
1 ?G�
Area Area of Decks, 1 Finished Basement- Unfin. Basement
r�GL J"Li .t.
No. Stlories No. Rooms No. of Dwellings
TYPE
7. OF
WORK
❑ NEW
❑ BLD.
❑ ALT.
❑ PLMB.
AD'N.
❑ MECH.
❑ RPL.
❑ M.H.
❑ MVE.
❑ POOL
❑ OTHER
No. Baths
DESCRIBE.WDRK Q,/
8. (t Z114,4J ' �L O' .,�V�Ct. 1-tL
VALUATION LECTRIC
SOURCE
OF
UTILITIES
GAS
CERTIFICATE
of EXEMPTION
Enum. Dist. I Location (Area)
Req'd.
Rec'd.
Not Req'd.
WATER
SEWER
Ownership
Public ❑ Private
USE CODE
9.
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 regug construction
performance of construction. SEE REVERSE SIDE FOR REQUIRED INSPECTIONS
DATE OF APPLICATION q — a kid SIGNATURE OF APPLICANT
SPECIAL APPROVALS
, NAME DATE
Env. Health
1A1 ,eybyg
Planning.
Fire Marshall
Co. Engineer
Utilities
Plans Examiner
SEPA Checklist
Bu )1dingtTech ician//7
SPECIAL CONDITIONS:
.R.L4,74)egf,,,".4.1.,t,
PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
or the
FEES COLLECTED
Single $
Building
mfr.
Plumbing
Mech.
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL $
rNUMB –R
02* *26.50
*26.50
*26.506
E *Q00
829.58
08 -08 -80
g 6479.
MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
08�0;8� -80
DATE ISSUED
829.65 *26.5Da�
PERMIT NO. TOTAL
ROBERT, C • DILLOA1
/1 Sit{ f B• ARBOR CIRCA
SPOKANE, WASHINGTON 99016
722'
ti
Legal Description:
La Berry Mobile Park
Lot 4 Block 6
Mok; IQ ycw,e
D
4)1 4.dacm
91.44
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