1980, 03-28 Permit: 80-2854 GaragePLAN NUMBER e
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.
BL6OK SU 'OiVI§ION
riDDRESS �t
P 7„a d' a` 1 i 6¢.,
CONTRACTOR
• ADDRESS
/ .�.�-
ESIGN ER
Cln04.
5' ADDRESS
PHONE
9.26 —,S74S'
ZIP
91.206'
LEGAL DESCRIPTION - SEE ATTACHED
PARCEL NUMBER/S 5/534t—O/8e,
/V.77'OF,E, /OO/OFB.LK,EXc,s',9'aF
w. 27 ' TH,ERA-oF
CIRCA/Al2D ALE ADD.
Actual Set Backs in Feet
North ,2.7 t (South
East 7/ / (West .5
PHONE
663--,96/4,
Size of Parcel
77 `x
Zone Classification
k
ZIP
9f.2.46
Type Const.
Occupancy
Sprinklered
❑Yes ❑No 0 Req'd.
PHONE
ZIP
V»uation
Main loor
DD
Building Area in Sq. Ft.
6740
Upper Floors
Garage Area
864'
Storage
CHANGE OF USE FROM
6.
TO
Area of Decks
Finished
Basement
Unfin. Basement
TYPE
7. OF
WORK
CiC NEW
U4' BLD.
❑ ALT.
❑ PLMB.
❑ AD'N. 0 RPL. 0 MVE.
❑ MECH. 0 M.H. 0 POOL
0 OTHER
No. Baths
No. Stories
No. Rooms
/
No. of Dwellings
CERTIFICATE
of EXEMPTION
Req'd.
Recd.
Not Req'd.
X
ESCRIBE WORK
8.
9 VALUATI
4DD ai
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 a' - g' SIGNATURE OF APPLICANT -7'
SOURCE
OF
UTILITIES
GAS
ELECTRIC
WATER
SEWER
Enum. Dist.
Ownership
Public 0 Private
ILocation (Area)
USE CODE
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE
Fire Marshall
Co. Engineer
Utilities
Plans Examiner
SEPA Checklist
B ildihnicJan
PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
FEES COLLECTED
Single $
Building 4• L4d
Plumbing
Mech.
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL
PERIVIIT NUMBER
02* *4400
*44.00
*44.006
E *G00
284,92
03-28-80
g 6479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
03-28-80
DATE ISSUED
285.42 *44,00
0 J —
d1-
PFRMIT ND TDTAI
lroCEfi,- / ,P, SLE
N. 77'oP F /00/•" 43,4,1(1
"Aci,7" S. 9 ' • F W 27 'MXeox'.
i%ecE L D. a 5,F1,4 — o/8‘
B irl•YEA dee .5 1,1. s .o ,E'" 7 go .6-
14.4-,e4
b.E,e4 Ave*, ..100114A/z, sa! 9,4or'
,Qe4DSS S1. An.? o.'1 7rNilaAte
•