1980, 08-15 Permit App: 80-8602 GaragePLAN NUMBER
—/s_�� APPLICATION/PERMIT
gSPOKANE 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
721 BL SDIQrQ
'
2.
/N
WER
3 ae't•( V,4 41.44 6-1ADDRE 0
7, /z: SiJL Af4-ct4 Sec tj'412.44/Ce.
�(Cy�ONTRACTOR
^' /1404&/,(111'!/•14/2"2444 -11 -et, ad&
FADDRESS/////�� I.s
DESIGNER^ CS `�% I/tike�/[y./ (Id p44-44,02.—
5.
LEGAL DESCRIPTION — SEE ATTACHED
PHONE
PARCEL NUMBER/S / 7J i/.()V/�
0 PPORi o.Viry
ZIP
Actual Set Backs in Feet
North js 'South /
East /t%—%/a (West /M4,
PHONE
51.12 zysrs�
Size of Padr� l
ZIP
// st �/
•Type Const. Occupancy
Zone qt.c Classlficatiiolrt �n%
a wtht jui-
Sprinklered
❑Ves ❑No 0 Req'd.
PHONE
Valuation
dd
Building Area in Sq. Ft.
/:2_,0D
ADDRESS
ZIP
Main Floor/
fa06
Upper Floors
Garage Area
Storage
CHANGE OF USE FROM
6.
TO
TYPE
7. OF
WORK
NEW
0 BLD.
O ALT.
O PLMB.
❑ AD N.
❑ MECH
DESCRIBE WORK
$
ft VALUATION SOURCE
p-7a-7 DC UTILITIES
GAS
❑ RPL.
❑
M.H.
❑ MVE.
❑ POOL
ELECTRIC
WATER
0 OTHER
SEWER
Area of Decks
�\�-
fj{�-f
No. Baths
Fini hed
t
Bakement
Unfin. Basement
a -a _2 -
No. Storle
No. Rooms
No. of Dwellings
CERTIFICATE
of EXEMPTION
Enum. Dist. I Location (Area)
Ownership
Public 0 Private rat
USE CODE
Req'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 regular'. • r. ion or the
performance of construction. SEE REVERSE SIDE FOR REQUIRED INSPECTIONS B ,
DATE OF APPLICATION -/4 -.�Q SIGNATURE OF APPLICANT � tef
SPECIAL APPROVALS
NAME DATE
Env
Planning
Fire Marshall
Co. Engineer
Utilities
Plans Examine
SEPA Checklist
Bu
ng Technician
/
SPECIAL CONDITIONS:
p/.2-<2.»-�0
Ld�t` fF 7.1 7 Do
PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
Recd.
Not Req'd.
FEES COLLECTED
Single
Building
Plumbing
Mech.
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL
PERMIT NUMBER 71
102*
•
*74,910
*7+4.00
'857.44
`08.-'1,4'=8,0
2 6479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
al's .'s;�'gro'
DATE ISSUED
•
8'6/02'Z
PERMIT NO.
TOTAL
1
1
1
II
1
t.
_T