1980, 12-02 Permit: 80B-4355 CarportPLAN NUMBR
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
N. 901
LOT BLOCK SUBDIVISION
5 3 oPpvtzT Jr -r/ RF --40
3
OWNER
LANCE. At4b f3cr I ELL (o7`r
PHONE
`8-I6A(
LEGAL DESCRIPTION — SEE ATTACHED
PARCEL NUMBER/S k,Sq/ — r
08 3/
ADDRESS
NOAT-S
ZIP
r
CONTRACTOR
4 ADDRESS
SAME,
PHONE
ZIP
Actual Set Backs in Feet
North (South G' East 32 'West
Size of Parcel
!02'A
Type Const.
V N
13E 4rr/20X
Occupancy
N -I
DESIGNER
5. ADDRESS
CHANGE OF USE FROM
6.
TO
PHONE
ZIP
Vaiugtion 00
boo
Main Floor
Upper Floors
Zone Classification
Sprinklered
❑Yes ❑No ❑ Req'd.
Building Area in Sq. Ft.
eco
Garage Area
200
Storage
Area of Decks
Finished Basement
Unfin. Basement
TYPE
7. OF
WORK
❑ NEW 0 ALT- CAD'N. 0 RPL. 0 MVE.
R BLD. 0 PLMB. 0 MECH. 0 M.H. 0 POOL
0 OTHER
No. Baths
No. Stories
No. Rooms
I
No. of Dwellings
CERTIFICATE
of EXEMPTION
DESCRIBE WORK Enum. Dist. Location (Area)
8. AvajroN F A c*,fZP1(1.-T To .X15 Tin. c-,ARAGIE ' P4_' NNcc_
VALUATION SOURCE GAS ELECTRIC WATER SEWER
OF Ownership USE CODE
9. UTILITIES g)((SSrffqPublic ❑Private a-
1 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
Req'd. Recd. 1No?o'd.
DATE OF APPLICATION / 0%2^
SPECIAL APPROVALS
NAME DATE
Env. Healthdal/—
Planning . A Lau
Planning
/7/../go
Fire Marshall
Co. Engineer
Utilities
Plans Examiner
-ram Pbs-rr wirr `2/4 8
SEPA Checklist
(ding Techician
fn2/3./5
1
SIGNATURE OF APPLICANT
SPECIAL CONDITIONS:
'f;oo p 53 p -j
PERMIT IS NONTRANSFEI (BLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
FEES COLLECTED
Single $
Qom'
Building / f
Plumbing
Mech.
Plan Check
SEPA
Mobile Home
Other (Specify)
/ ou
TOTAL $ 1 1`Lt
'PERMIT NUMBER
02* *14.00
*14.00
*14.006
A *Q00 B
434.38
12-02-80
2 6479,
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
1 21142-' V 4'3'5, 5 zI
DATE ISSUED PERMIT NO.
*1401 2F-1
TOTAL
•
•
Cot
sZt
,4)
1154 r
ax•Jr•.e4
2 ATfS .