1980, 11-14 Permit: 80B-3758 Carport(PLAN/ NUMBER
l.i
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. /z.0
LOT BLOCK fr../BO VI ION
2.
LEGAL DESCRIPTION — SEE ATTACHED
ONER�j
3 p(OD ��%-lt-iii�t.?'.2i .�J/�/✓.Nrit.�C2.9.c��K-1
A ORE55 p pp r�yy
/1217 x'71", zfiv anat2.- RCJ ' %1�%✓�Q l
C NnA'
TRACTOR// "
.a t/{/V4/iC%
DESIGNER
5' ADDRESS
PHONE
9a' 0% i
PARCEL NUMBEER/Sz,3S /fix/
f!1'. 3 '- -2,5--4-9-
ZIP
4 -9 -
ZIP
PHONE r.
PHONE
`9=z -(.7027
Actual Set Backs in Feet ;
t^
North • !
6 ` South ea
East 7/ IWest.t�-Q.5-i
Size of Pavel
/oo x
Zone Classification
rtl
ZIP
99 21
PHONE
Type Const.
Occupancy
Valuation [/
94'gv
Sprinklered
ed
Sprin kleretl
Dues ONo 0 Req'd.
Building Area in Sq. Ft.
ZIP
CHANGE OF USE FROM
6.
TYPE
7. OF
WORK
TO
Main Floor Upper Floors Gdra a ea Storage
eef.4119-Jt frw Ar.2^42.44.....177
Area f Decks I inished Basement Unfin. aslent
® NEW 0 ALT. �T AD N. 0 RPL.
BLD. 0 PLMB. 0 MECH. 0 M.H.
❑ MVE.
O POOL
RESCRIBE WORK J
$ ( ALU. 1 --al af� eWli .EL'CP TER
VALU TION SOURCE GAS ELEC RIC WATER
OF
9. UTILITIES
0 OTHER
No. Baths
No. Stories
1
C E RTI FICAT
i of EXEMPTION
No. Rooms
No. of Dwellings
Req'd.
Recd.
Not Req'd.
Enum. Dist. I Location (Area)
SEWER
Ownership
Public 0 Private III
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 // —/3—S7
SIGNATURE OF APPLICANT
SPECIAL APPROVALS
NAME DATE
Env. H
Planning
Fire Marshal
Co. Engineer
Utilities
Plans Examiner
SEPA Checklist
;Aiding Tech ician
AA.?te&
SPECIAL CONDITIONS:
,11 %?iLt tt f .�tY[ �rtccZ
._.-A-/ Aft),
PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
FEES COLLECTED
Single $
Building / 7'4
!'
Plumbing
Mech.
Plan Check
SEPA
Mobile Home
INVEST:i 0
Other (Specify)
TOTAL
'
PERMIT NUMBER
eZ29--3.75-8
0,2*e * 1 7.00
* 17.00 1
* 17.006
A *0.00
37562
11=14-80
2 6479.
0.2* *1700
* 17.00 U5
* 17.0016 —
A *0.00
37572
11=14-80
2 647.9.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
;1,11+,1j = 8 ;0! 3,7A 8'1 *0'10 0 a PI
DATE ISSUED PERMIT NO. TOTAL
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