1980, 06-03 Permit: 80-5309 GaragePLAN NUMBER APPLICATION/ PERMIT
.
PERMI hUMBER�
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
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NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
0 L* * 4 4, 0 0
APPLICANT: COMPLETE NUMBERED SPACES - PRESS
HARD TO MAKE 3 COPIES
JOB ADDRESS
LEGAL DESCRIPTION -SEE ATTACHED
USE CODE
* 0 0
LOT
1 BLOCKISUB-51VIbIL)NPARCEL
NUMBER/S �f�C<-E `/ I
2.
Public ❑ Private
L\t-IZ Ps9 N"Co Si or= w 4S.,_i� Exc• N—Is'
LI\ G N \ao.S' 6)c— `7S' L1Z
* 4 4. 0 0
OWNER
PHONE
3. Se�t+N V�/
z - z-t'l9
\SSIS I- z
E * 0 0 0
5 2 b. 9
ADDRESS
ZIP
Actual Set Backs in Feet
I
�51Q- r✓E ry A C-YLcS
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North 1 South 10' East 30� West %5
06-03-80
CONTRACTOR
PHONE
Size of Parcel
Zone Classification
`.�flN1C
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ZS X
A4Q\. S(43k2 At-!
-9 6479,
4. ADDRESS
ZIP
Type Const.
Occupancy
Sprinklered
SAAle
I
[--]yes ❑No ❑ Req'd.
DESIGNER
PHONE
ViYation
Building Area in Sq. Ft.
5.
40. aQ
<00
—
ADDRESS
ZIP
Main Ploor
Upper Floors
Garage Area
Storage
____
4 (� G
CHANGE OF USE FROM
TO
Area of Decks
Finished Basement
Unfin. Basement
6.
'
TYPE eNEW ❑ ALT. ❑ AD'N. ❑ RPL. ❑ MVE.
No. Baths
No. Stories
No. Rooms
No. of Dwellings
7 OF
L\A BLD. ❑ PLMB. ❑ MECH. 1:1M.H. El POOL 1-1 OTHER
CERTIFICATE
Req'd.
Recd.
WORK
of EXEMPTION
I
INoteq'd.Fj
0
DESCRIBE WORK
Enum. Dist,
Location (Area) FEES COLLECTED
H. hC.L
VALUATION
SOURCE
GAS
ELECTRIC
WATER
SEWER
Ownership
USE CODE
UTILOITIES
cSc� IG
Public ❑ Private
Single
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
Building
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 INSPECT-JONA INSPECT—JO
Plumbing
bFgo
DATE OF APPLICATION SIGNATURE OF APPLICAL
Mech.
SPECIAL APPROVALS
NAME DATE
Planning
Fire Marshall
Co. Engineer
Utilities
Plans Examiner
SEPA Checklist
=B�iechnician
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ECIAL CONDITIONS:
M P.(L- Td C7wN�
PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
Plan Check
SEPA
g4-4— —oo
Mobile Home
Other (Specify)
TOTAL $ -44co
—
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT. _ n
DATE ISSUED PERMIT NO. n 9 z * TOTAL
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