1980, 09-23 Permit: 80B-770 GaragePLAN NUMBER
97020
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.
CT BLgK- SJBD VISD r�(.(/P't/
I
2.17 1R d41z L 1 Pei 1u
o Va14.4-344.1
3
LEGAL DESCRIPTION — SEE ATTACHED
ADDRESS .51‘.4.,.51‘.4.,e b 4 26i� .7 .Co _. P. eal, C9 G�f
Y.i
reRe mcadtfj yr»v74 lVit,i,
ADDRESS ilpr - Jgq
D SIGNER
5' ADDRESS
PHONE
PARCEL NUMBER/S PORT 0 1SV^tr-Z, -wog
/,.OT/7 ecK.Z
CDACHLire SSrAT.ss
ZIP
946.27
PHONE
Actual Set Backs in Feet
North 4601,4601,i 'South zi/
[East S, (West %l/'
Size of Patel
Grx //s
PHONE
ZIP
Type Const.
Valuation
V'S/R4'o
Main Floor
574 1
Occupancy
Zone Classification
kat.li .
pnuklered
Oyes 0No 0 Req'd.
Building Area in Sq. Ft.
Upper Floors
Ar
Garage Area Storage
CHANGE OF USE FROM
6.
TO
Area of Decks
TYPE
7. OF
WORK
NEW
0 BLD.
O ALT.
O PLMB.
O AD N.
O MECH.
O RPL.
O M.H.
0 MVE.
0 OTHER
0 POOL
No. Baths
I No. Storie
/
Fmired
p.'
ase ent Unfm. Basement
o. of Dwellings
No. Rooms
CERTIFICATE
of EXEMPTION
Req'd.
Rec'd.
Not Req'd.
ESCRIBE n
8. /(JAIWIated /a
D
VALUATIO ELECTRIC WATER
9-1784g
SOURCE
OF
UTILITIES
GAS
Enum. Dist.
Location (Area)
SEWER
Ownership
Public 0 Private tk
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 la instruction or the
zS
performance of construction. SEE REVERSE SIDE FOR REQUIRED INSPEC NS
DATE OF APPLICATION q - 3 - 0 SIGNATURE OF APPLICANT S I. /,
'
-. PIr,,
• SPECIAL APPROVALS
NAME DATE
Env. H
Planni
Fire Marshall
Co. Engineer
Utilities
Plans Examiner
SEPA Checklist
Bu ing ech clan
I .CI J ntWo
SPECIAL CONDITIONS:
PERMIT IS -NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
FEES COLLECTED
Single
Building
Plumbing
Mech. ,
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL
$ ,5-e;22—
PERMIT NUMBER
02*
* 560.0
* 5600 ro
7&92
09-23-8,0
6479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
e e.
09,142:41, t'81
DATE ISSUED.
-
PERMIT N� 5
O,Z 6. O`'RDLF
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-IP
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71
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