1980, 09-23 Permit: 80B-763 Garager\
PLAN NUMBt4
C/
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 ADDI3 ESS00 7 f...1
LOT SUBDIVISION
2. 69n17K-001-1't'-}161-�, 7- 13in+I
` E'37,
3
BLOCK
'31161,1 4 . `I` e , A �LL
LEGAL DESCRIPTION — SEE ATTACHED
PARCEL NUMBER/S 11 03
Air ES
Oo / 176s11/4/1&(
4.
CONTRACTOR
� `tN111
ADDRESS
,2J ,1 -4 -
-1 0
pHONE
Actual Set Backs in Feet
North (South Cel
/}( rf
East v (West
Size of Parcel
167 ''<3•
Zone CIa/ vWi ion
ZIP
Type Const.
Occupancy
Sp�inklered
❑Yes ONo 0 Req'd.
5.
DESIGNER
PHONE
ADDRESS
ZIP
Valuation
02 -et
Main Floor
Building Area in q. Ft.
Doer Floors
De{
age rea
Storage
CHANGE OF USE FROM
6.
TO
Area of Decks
Finished Basement
Unfln. Basement
7.
TYPE
OF
WORK
0 NEW
BLD.
DESCRIBE WORK
B VALU TION
9.
0 ALT. L"1 AD N. - 0 RPL. 0 MVE.
0 PLMB. 0 MECH. 0 M.H. 0 POOL
SOURCE
OF
UTILITIES
GAS
ELECTRIC
WATER .
0 OTHER
SEWER
1/C --
No. Baths
No. Stories
No. Rooms
No. ofDwellings
CERTIFICATE
of EXEMPTION
Enum. Dist.
Ownership
Public 0 Private
Location (Area)
it'ISE CODE
Rec'd.
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 INSPECTIO
DATE OF APPLICATION/ (` 9 SIGNATURE OF APPLICAN
SPECIAL APPROVALS
NAME DATE
Planning
Fire Marshall
Co. Enginee
Utilitle
SPECIAL CONDITIONS:
N4M Tv CAA
/Zc O'.
C/12446 : 9111°
rj//2/94e AT a.me/Sit
2r01456.0 Sire art Pod F4en 0
•
l�Gr1C env 0}41 .
cri.9/vicea,
PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
Rec'd.
NotRgp'd.
FEES COLLECTED
Single $
Building
Plumbing
Mech.
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL $
PEPnMIT NU2ABER. „
8073 -763
02* *4'4 00
*ato0 5
9'81,68
09=09-80
2 647'9
WHEN
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
• °019i011'0
DATE ISSUED
76.3.•5 *.4'�4,1002r2
TOTAL
PERMIT NO.
-‚D
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