1980, 07-18 Permit: 80-7370 GaragePLAN NUMBER
APPLICATI4/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. /D CW. ,8 leo-
LOT
2.
Q
BLOCK SUBDIVISIO
LEGAL DESCRIPTION — SEE ATTACHED
OWNER
3. S2PWE
ADDRESS
/V. 310
CONTRACTOR
ADDRESS
DESIGNER
4.
5.
PHONE
Ti4 Yt. 5,e
PARCEL NUMBER/S rE-,/4 �� OP
OF / 3//0 e -44/C. A/ea,
/55-e/41- /4/05 -
+8125/ S /Pr'
ZIP
Actual Set
Backs in Feet
North /4/. [South East
i
west
PHONE
Size of Parcel
/PO X
ZIP
/¢n
Type Const. Occupancy
Zone Classification
Ac„pf C.
Sprinklered
❑Yes ❑No ❑ Req'd.
PHONE
ADDRESS
ZIP
Valu on
3300
Main Floor
Building Area in Sq. Ft.
s fg
Upper Floors Garage Area
548
Storage
CHANGE OF USE FROM
6.
TO
Area of Decks
Finished Basement
Unfin. Basement
TYPE
7, OF
WORK
If NEW
(J BLD-
❑ ALT.
❑ PLMB.
❑ AD'N.
O MECH.
❑ RPL.
O M.H.
❑ MVE.
O POOL
❑ OTHER
No. Baths
No. Stories
/
No. Rooms
No. of Dwellings
CERTIFICATE
of EXEMPTION
Req'd.
Recd.
Not Req'd.
v
DESCRIBE WORK
8. ). -7-.9e AFtj q/a/2A6r E
VALUATION
9. 530o
SOURCE
OF
UTILITIES
GAS
Enum. Dist.
Location (Area)
ELECTRIC
WATER
SEWER
6107--/ C.
Ownership ,_,,/
Public ❑ Private Ira
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
SPECIAL APPROVALS
NAME DATE
toy_12 terILSIGNATURE OF APPLICANT
SPECIAL CONDITIONS:
Fire Marshall
Co. Engineer
Utilities
Plans Examiner
SEPA Checklist
Buil "n echnic n
r2/1 7/4:90
/A4& 7 o&. /v 6-/z
Gc�NPERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
FEES COLLECTED
Single
Building
Plumbing
Mech.
Plan Check
SEPA
Mobile Home
Other (Specify)
74x4.610
TOTAL $
PERM.IT NUMB
S0— 7370 1
02* * 5� 0 0
* 5400 N
* 5b006
E *C00 0
727.62
07-1780
2 6479
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
O'71H1.7-18°0 7 '3 7.0 z
DATE ISSUED PERMIT NO. TOTAL