1980, 06-03 Permit: 80-5313 GaragePLAN NUMBER
APPLICATION/PERMIT
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
1.
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
JOB gDDR�S� �J� r_21C/14-,
LEGAL DESCRIPTION — SEE ATTACHED
LOT
2.
BLOCK
SUBDIVISION
Incl -I -i 1P AN/6 _ At7XI'1'
NER
3 owr4024
,its‘ N rJ ' 2 'r.v1ANsi
ADJ�RESS Piot �
4.
CONTRACTOR
300+
PARCEL NUMBER/S 0 C' r.t _
Ira) Lz 4 — 04- `i
ZIP
Actual Set Backs in Feet
North ' J (South
East ° 'West
ADDRESS
�oX 1 4—?.4--I
PHONE
9M- 1560; -5
Size of Parcel
17x 75
Type Const.
V -N
Occupancy
N1
Zo
Al
assificatio
AlCle-i0
SprinVlered
❑Yes ❑No 0 Req'd.
DESIGNER
5. ADDRESS
PHONE
Valuation
Building Area in Sq. Ft.
ZIP
Main Floor
Upper Floors
C;arage Area
Storage
CHANGE OF USE FROM
6.
TO
Area of Decks
Finished Basement
Unfin. Basement
7.
TYPE
OF
WORK
O NEW
❑ BLD.
O ALT.
O PLMB.
❑ AD'N.
O 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 R9q'd.
8.
DESCRIBE WORK
1.2
Enum. Dist. I Location (Area)
VALUATION
9.
SOURCE
OF
UTILITIES
GAS
ELECT,,RIC
WATER
SEWER
Ownership /
Public ❑ Private iQ
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 of presume
to give authority to violate or cancel the provisions of any other state or local law regulating cons uction t
performance of construction. SEE REVERSE SIDE FOR REQUIRED INSPECTIONS,
DATE OF APPLICATION
SPECIAL APPROVALS
NAME DATE
Env.
Planning
lZ 1.1 <V3
Fire Marshall
Co. Engineer
Utilities
Plans Examiner
J0 M t' f L w Ir r`51/
SEPA Checklist
'ding ec 'clan
SIGNATURE OF APPLICANT
SECIAL CONDITIONS:
co- i c: ( 2 3 - of - i41- GSI -16 -14- 3K1 1-1
8/3/� U,
•
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 $
PERMIT NUMBER
p - 9;.3/3
02* *64.00
*6400 17,
*44,006
B *000
467,32
05-13-80
2 6479,
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
06r-03;'`80
DATE ISSUED PERMIT NO. TOTAL
53:'135 *44002P -
1511
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