1980, 06-23 Permit: 80-6098 GaragePLAN 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
JOB ADDRESS
1.6. % '4'✓% .-itteg�,i
LOT BLOCK SUBD JN
�f'
2. l'-:5- .,,,,:e%'(.l �-A,1 e a.L.c./ `.,-`'
OWNER� A
3. 7 Z -,Z � t. 740. -111, /
ADD'RESS
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/��% ri aj
2N ACTOR
4.
PHONE
1 , 7
LEGAL DESCRIPTION — SEE ATTACHED
PARCEL NUMBER/S Lfd-l/
1.,07-
M
)TM JRA/3E U A'A.NC,ii ADD
L.P -qip1-ii'v%% C1 -o-'
R ESS
13.6- 72 7 .v..1
DESIGNER
ZIP
PHONE
ADDRESS
CHANGE OF USE FROM
6.
TYPE
7. OF
WORK
ZIP
PHONE
ZIP
TO
❑ NEW ❑ ALT. AD N. ❑ RPL. ❑ MVE.
❑ OTHER
❑ BLD. ❑ PLMB. ❑ MECH. ❑ M.H. ❑ POOL
Actual Set Backs in Feet
North a' 'South 2 7 East IWest 2S
Size of Parcel Zone Clgssification p
Type Const.
Valuation
Occupancy
Sprinklered
Dyes ❑No ❑ Req'd.
Building Area in Sq. Ft.
Main Floor Upper Floors Garage Area
Area of Decks
Storage
Finished Basement Unfin. Basement
DESCRIBE WORK //
8. JC A, Zr Ca :L, h 2J.X. f.,/,Lte
VALUATION SOURCE GAS EL CTRIC WATER
OF
9. UTILITIES
SEWER
No. Baths
No. Stories
CERTIFICATE
of EXEMPTION
Enum. Dist.
Ownership
Public ❑ Private
No. Rooms
Location (Area)
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 i I% —id
SIGNATURE OF APPLICANT NA'
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE
En/j/th
Planning
Fire Marshall
Co. Eer
Utilities!
y2-2,
Plans Examiner
—rD M .PuTTLOW ATT 6/2.0
SEPA Checklist
Bu ding Tec kion
��C�e GlvlCef"avl '67-1
PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
No. of Dwellings
Rec'd. Not Req'd.
FEES COLLECTED
Single
d G�
Building 5L%'
Plumbing
Mech.
Plan Check
SEPA
Mobile Home
Other (Specify)
tJ Z�
TOTAL
PERMIT NUMBER
%a-- Co 0 c:16
02* *5600
* 5600 N
* 56006
B *000 8
609,72
06-23-80
2 6479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
`0451 ?2''3ir'718,1) 609.82 *56.0021-2
DATE ISSUED
PERMIT NO. TOTAL
m
II
Scale: 1400'
Requested Wrice
Lot Cost
PLOT PLAN
N.
U �J
/1 84'
33L svii-
FF = t 7'
3
'r
k
..� 90
�u-eye
Joy
5
i
Jv
9/ \
foi ova, 40
ELEVATIONS:
Crown of Street 0
Finish Floor
Basic:
FRA Case #
0Mortgae Co .
Power Co.
Wu.)P
Plumber
YYIn ' INA
Sq.8Ft..
ad
Job #
/
Legal.
Lo -f- is (D_ ‘rabPau- irk► -«c
Address
E //4,/! 73ucLeq
Parcel #
095 4 / /.233
'Water Co.
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Excavator1
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NWCS FORM #L-