1980, 09-25 Permit: 80B-884 GaragePLAN NUMBER
v
APPLICATION/PERMIT
9/z'vec-) SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3 COPIES
1.
JOB ADDRESS
�• /r8/c
LEGAL DESCRIPTION - SEE ATTACHED
LOT
2. /Z
BLOCK
SUBDIVISION
4lbed9B6 4'I
3
OWNER
✓off CS �9.��" r
PHONE
vzz- CI -
PARCEL NUMBER/S
ADDRESS
c . //e e uexe-W
ZIP
9gzaC
Actual Set Backs in Feet
North 3Cii 'South Jo'
East IWest /91
4.
CONTRACTOR
PHONE
7—,3Q8
Size of Parcel
9-4k/5-0
Zone Classification
4&f/. 5' ar3H'l)
ADDRESS
le-) . 4509 /r79//211/ GGA
ZZIpIPa�yy
94:7Ze;
Type Const.
Occupancy
Sprinklered
Oyes ❑No ❑ Req'd.
5.
DESIGNER
PHONE
VaUtation
)j C, yea
Building Area in Sq. Ft.
7? o
ADDRESS
ZIP
Main Floor
Upper Floors
Garage Area
7Zo
Storage
CHANGE OF USE FROM
6.
TO
Area of Decks
Finished
Basement
Unfin. Basement
TYPE
7. OF
WORK
®'NEW ❑ ALT. lid AD'N.
❑ BLD. ❑ PLMB. 0 MECH.
❑ RPL.
❑ M.H.
❑ MVE.
O POOL
0 OTHER
No. Baths
No. Stories
/
No. Rooms
No. of Dwellings
CERTIFICATE
of EXEMPTION
Req'd.
Rec'd.
Not Req'd.
v
DESCRIBE WORK
8. ,471 - so 64.43
Enum. Dist.
Location (Area)
y4?VALUATION SOOF
URCE GAS ELECTRIC WATER SEWER Ownership USE CODE
9,%, elgO UTILITIES O7p€ Public ❑Privateel
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
DATE OF APPLICATION `,1.
SIGNATURE OF APPLICA�I�T<<{
SPECIAL APPROVALS
APPROVALS
NAME DATE
nJ I�ealth
P anning
Fire Marshall
Co. Engineer
Utilities
fans Exami
2
SEP • Checklist
Building Technician
4
SPECIAL CONDITIONS:
/4T, h' O
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 $ io�'G , Oc
P€1HMI1 r'(JMBEr:
C2* *6260
*6200 IT
*62.006
A *000
88.32
09-25-80
z 6479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
0 21L.:2 7°8-'0
DATE ISSUED
88.4z
PERMIT NO.
*62.''0'02 —
TOTAL
5-791
174eug,e
PTD sec,,Se
s" Vg 3
//e/t) c
f ¢? m es S e= m 1-
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