1980, 10-22 Permit: 80B-2470 GaragePLAIN .UM3Ek
0J
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.LOT BLOCK
2.
LEGAL DESCRIPTION — SEE ATTACHED
d ER. ,
3. .,e)AL_,
ADDRESS
,/7t) 3
CONTRACTOR
SUBDIVI ION
(.3".11*
�L C.friii.Zt
PHONE
ZIP
PARCEL NUMBER/S
ke r / 13.4-K" i C
Ajr/RA/1 4U RAtiLtl ADD,/
Actual Set Backs in Feet
North T ' I 1 ' l
South O East /
West 7
PHONE
A, DRESS
DESIGNER
5. ADDRESS
ZIP
Size of P/rcel
q; x /r2
Type Const.
Zone Classification
Occupancy
Sprinklered
❑Yes ❑No 0 Req'd.
PHONE
Valuation
ZIP
Main Floor
Building Area in Sq. Ft.
Upper Floors Garage Are/
/,5""
Storage
CHANGE OF USE FROM
6.
TO
Area of Decks
Finis ed Bas ent Unfin. Basement
TYPE
7. OF
WORK
NEW
0 BLD.
❑ ALT.
❑ PLMB.
AD'N.
0 MECH.
❑ RPL.
❑ M.H.
DESCR BE WORK
8.0
ALUATION
9.
SOUE
OF
UTILITIES
GAS
ELECTRIC
❑ MVE.
O POOL
WATER
❑ OTHER
No. Baths
CERTIFICATE
of EXEMPTION
No. Rooms
Req'd.
No. of Dwellings
Rec'd.
Not Req'd.
SEWER
Enum. Dist. I Location (Area)
Ownership
Public ❑ Private ciz
USE CODE
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 it.) "'% 7 —k / SIGNATURE OF APPLICANT -/.u,-
SPECIAL APPROVALS
NAME DATE
Env
Planning
Fire Marshall
Co. Engineer
Utilities
Plans Examiner
1 avt f''o.57Lf U)I 17 /`f2Z ��L
SEPA Checklist
B ding Tehnici
4z b
SPECIAL CONDITIONS:
r / L/ti . c,
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
$
_.D41; NUMBER
4-7C)
2*
*56C0
* 56,CC cn
* 56C06
A *Orr,
2182.
10-17-80
6479,
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
1:0%-.2 .2 -,8'0
DATE ISSUED PERMIT NO. TOTAL
2.47,05 *56.002 -
CtriX It112
r\
PROPOSED
R5SID,ENC�t
/17
✓CK£YE 51.