1980, 07-25 Permit: 80-7629 Garager
PLAN NUMBER QST
q�zlAPPLICATION/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 /�p}f/�.q
t. COT/fI'SL6CK SUHDItY ISIo •I AJ-i[��♦l.
Atli /tat
P /961/
CONTRACTOR
/ / •Z
OWNER
3. 6R.�R.f
ADDRESS
5.
6.
LEGAL DESCRIPTION — SEE ATTACHED
PHONE
Alli PHeste
PARCEL NUMBER/S p6RT O gc5Z .2. _ o /09
CUT JI 13Lir.:.
GOA wi f/Tt✓ ,SSTAT,rS
ZIP
Actual Set Backs in Feet
`/
North eV',ISouth '7 ^/1 / East � Ty (West c3 ♦
PHONE
Size of Papel `
q
ADDRESS
a!1 a.vid e. ,
DESIGNER
ZIP
x
Type Const. t.
I Occupancy
Zone Classifies 'on
�02 - b,.ifna
Pr inklered
Oyes ONo 0 Req'd.-
PHONE
Valuation 0
.Cr/ 6/
Building
/
Building Area in Sq. Ft.
L�-a-Cs
ADDRESS
CHANGE OF USE FROM
TYPE
7. OF
WORK
04 NEW
0 BLD.
ZIP
Main Floor
Wig/
Upper Floors I Garage Area
Storage
O ALT.
❑ PLMB.
TO
❑ AD N.
❑ MECH.
❑ RPL.
❑ M.H.
❑ MVE.
0 POOL
0 OTHER
Area of Dicks Finjshed saasement l
•
No. Baths No. Stories
No. Rooms
No. of Dwellings
CERTIFICATE
of EXEMPTION
Req'd.
Recd.
DCISC(tIBE WORK nB. ��LU+{f�OI 12/7../x..(',�r t pry
VALUATION SOURCE GAS ELECTRIC I WATER
Q% OF
67G,/ UTILITIES
Enum. Dist.
Location (Area)
SEWER
Ownership x�i
Public 0 Private 'Y
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 INSPECTIONSS
DATE OF APPLICATION 7—..245e—Rt)
SIGNATURE OF APPLICANT
4 -
SPECIAL APPROVALS
NAME DATE
EAv. Health. ///'////
A/ tvurr.441 /I,Af to 74
Planning
Fire Marshall
Co. Engineer
Utilities
Plans Examiner
SEPA Checklist
B iIdinp Tegnnisipn --77
it 12417A4—'
SPECIAL CONDITIONS:
PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
NotReq'd.
/SC:.
FEES COLLECTED
Single
Building
Plumbing
Mech.
Plan Check
SEPA
Mobile Horne
Other (Specify)
gf 60
TOTAL
PERMIT NUMBER
gzs- -74 Z1
02;* *5'0.,00
*50.00 N
*5'0.006
E .*0,00 0
76282
07,=251 80
2 6479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
DATE ISSUED
7 rO. 9:2
PERMIT NO.
-
'*50.0'0 Dates
TOTAL
o.
n
e
K
de-ord- tag
CX ) 5 / I' 6- No -i4 L
RACE C o0ier