1980, 04-28 Permit: 80-4024 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
1.
2.
3.
JOB ADDRESS
E. itBat
LOT
BLOCK
EM -Pi \A/AY
LEGAL DESCRIPTION — SEE ATTACHED
SUBDIVISION
4. •
5.
OWNER
"REX. IA ASK Ew,g_
ADDRESS
wig
PHONE
• 41(c.6. 261 (
PARCELN UM13E Rt /S
4(?)°,1\11N/1 eA.) •AcRes 1.6T kt.D ill (2)N)
E 11Sal EmpirzeVJ#1y
CONTRACTOR
C YPtaess Wesi Ltrourtir-r;;-0 i c_
ADDRESS
. kel OO cLcL..
DESIGNER
PHONE
4(.6- -2---?as
Actual Set Backs in Feet
North 'South
Size of Parcel
East 'West
• Zone Classification
ZIP -
ciei oz./
" Type Const.
Occupancy
Sprinklered - •
0Yes 0No 0 Req'd.
PHONE
luation
k Oc›.Q9
Building Area in Sq. Ft.
ZOO
ADDRESS
ZIP
Main Floor
Upper Floors Garage Area
Storage
CHANGE OF USE FROM
6.
TO
Area of Decks
Finished Basement
Unfin. Basement
TYPE
7. OF
WORK
0 NEW
If) BLD.
O ALT. 0 AD N. 0 RPL. 0 MVE.
• PLMB. 0 MECH. 0 M.H. 0 POOL
0 OTHER
No. Baths
No. Stories
No. Rooms
No. of Dwellings
CERTIFICATE
of EXEMPTION
Req'd..
Rec'd.
Not Req'd.
•
PERMIT NUMBER
eo -4 o-24
02*
*11.&00 *44.00
*41,00)
E * G 0 0 8
4023g
04=-28-80
•g 6479.
DESCRIBE WORK
8. CokizAc4 r
VALUATI dN
Enum. Dist. I Location (Area)
SOURCE
OF
UTILITIES
GAS
ELECTRIC
WATER
SEWER
Ownership
Public El Private 0
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
SPECIAL APPROVALS
NAME DATE
Env. Health
Planning
Fire Marshall
Co. Engineer
Utilities
Plans Examiner
SEPA Checklist
97ATechnician 6./
151/285
SIGNATURE OF APPLICANT
S ECIAL CONDITIONS:
(14Sue..121/4k3Lz.EWL
To ckr&A-ci oiN.;
&-X( S.TvNt
L.6f 11 -'OI
PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES EXPIRES ONE YEAR FROM DATE OF ISSUANCE
FEES COLLECTED
Single $
Building .444. 00
Plumbing
Mech.
Plan Check
SEPA
Mobile Home
Other (Specify)
A44 0 0
TOTAL
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A.PERMIT.
4:1-7}0.8M8r01 40 2..4 5. * 4 4.0
DATE ISSUED • PERMIT NO. TOTAL
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er make. others' arrangements- with the Spokane. County. Building
.,:codd0.1)ep4i,Pril9404;4,447PFthkst*T#Or4P:',,Priler-tbavOicTY.
:the filings of a scriminal complaint ragainst':you •based upon
the alleged violation as outlined above.
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x rJ '... r ` �• t s! 4 -. ,- .� 14 .j5 � r -' r . }i ..r •J. :i 4
Please do `not_ hesitate to contact zee cif you have,•:
:any questions- regarding tY a above ::matter. '":