1980, 05-08 Permit: 80-4470 GaragePLAN 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
JOB ADDRESS
1.e /kg/ 0- L? _7 -- C' c-c &
LOT BLOCK SUB !VISION
2.02.
NER
3. `Z/
DDRESS
e / g ci6t- + Al 4/GtGam'a
LEGAL DESCRIPTION — SEE ATTACHED
,,,,CXxQ,NTRACTOR
4' AQJDRESS
DESIGNER
5. ADDRESS
PHONE
ZIP
PARCEL NUMBER /S
�.a r
1..3h K
LARRY /UV O&a e. PARK
Actual Set Backs in Feet j
North «G <7 (South d `�
PHONE
Size of Parcel
ZIP
Type Const. Occupancy
itEast at if
Wes
Zone Classification
J SpYinklered
Oyes ❑No ❑ Req'd.
PHONE
Valuation
Building Area in Sq. Ft.
.714Us
ZIP
CHANGE OF USE FROM
6.
TO
Main Floor Upper Floors
tam° -
Area of Decks
Garage Are
Storage
Finished Basement
Unfin. Basement
TYPE
7. OF
WORK
4 NEW
❑ BLD.
❑ ALT.
❑ 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 Req'd.
ESCRIBE WORK
8. 21.10.4.
VALUATIO
9.
/14-Cti-ette, Let
SOURCE
OF
UTILITIES
GAS ELECTRIC
Enum. Dist. I Location (Area)
WATER
SEWER
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 7 —yt4 SIGNATURE OF APPLICANT
SPECIAL APPROVALS
NAME DATE
Env. Heal
Planning
Fire Marshall
Co. Engineer
Utilities
Plans Examiner
SEPA Checklist
iB (din Te hnici
41/10-
SPECIAL CONDITIONS:
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 $
`PERMIT NUMBER
02*
*38.00
*3800
44692
05 -08 -80
6,479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
0 5. 0' i'-`$ 0
DATE ISSUED
44702 *38.00i2 p
TOTAL
PERMIT NO.
i-,4 €
A `I
,`■ /4_,k,\N
ce
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AR8oR CIPaL£
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