1980, 07-30 Permit: 80-7927 GaragePLAN NUMBER
(4/
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
I. coz XEe,�cr�
LEGAL DESCRIPTION — SEE ATTACHED
LOT
2.
BLOCK
SUBDIVISION
3
OWNER
CCO/tin
ADDRESS
' /CF7o
5. AS0 z %fE.p/a+raCJ
PHONE
?ZS-09e7
PARCEL NUMBER/SSL OF 4p73 / f 2 /AI at' 37
ONii'6K5/Tl/ }mob ce
6,$4// 4403,
ZIP
zor-
Actual Set Backs in Feet
North /0' (South
4.
5.
CONTRACTOR
Wes -re -en) rA.PivsE- s
PHONE
Size of Parcel
/Oo'Xt,o'
ADDRESS
/b/,S /V YH/E,renipiV
DESIGNER
ZIP
'Wan
Type Const.
Occupancy
PHONE
Valuati#
4280
ADDRESS
ZIP
Main Floor
Upper Floors
East 2S' 'West Sci
Zone Classification
"tie 'Si'd3uefr /
Sprinklered
❑Ves ONo 0 Req'd.
Building Area In Sq. Ft.
3320
Garage Area
3z o Storage
CHANGE OF USE FROM
6.
TO
Area of Decks
Finished Basement
Unfin. Basement
TYPE
7. OF
WORK
N(/NEW 0 ALT. 0 AD N.
L'J BLD. 0 PLMB. 0 MECH.
0 RPL.
❑ M.H.
. 0 MVE.
0 POOL
0 OTHER
No. Baths
No. Stories
No. Rooms
No. of Dwellings
CERTIFICATE
of EXEMPTION
Req'd.
Re 'd.
Not Req'd.
DESCRIBE WORK
8. R&e.' -7'y/ f�i9r�i9�jc
9. 4ALUATION SOURCE GAS
,2130UTILITIES O
Enum. Dist.
Location (Area)
4,2130
ELECTRIC
• WATER
SEWER
p�
Ownership ..,/
Public ❑Private rJ
USE CODE
I hereby certify that I have read and examined this application and have read the "NOTICE" provisions included
on reverse side, and know the same to be true and correct. All provisions of laws and ordinances governing this
type of work will be complied with whether specified herein or not. The granting of a permit does n. .resume
to give authority to violate or cancel the provisions of any other state or local law ytjulating co. / c •n or
performance of construction. SEE : . VER SIDE FOR REQUIRED INSPECTIONS$(/ K l • A_/
/�S.
DATE OF APPLICATION
SPECIAL APPROVALS
NAME DATE
Env.
atazzo
/241
Planning
Fire Marshall -
Co. Engineer
Utilities
Plans Examiner
SEPA Checklist
Bu din echnician
t/).27/tT�R�
GNATURE OF APPLICANT
SPECIAL CONDITIONS:
1
PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
FEES COLLECTED
Single $
Building AZ7.00
Plumbing
Mech.
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL $ Tl -et'
PERMIT NUMBLR
.> 2
Sd L 7
02* *2200
*2200 N
*22008
E '*000 S
792.62
07-30=80
6419.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
019q;ni''2;8101 792 7 *.2`20.0.e0F
DATE ISSUED PERMIT NO. TOTAL
0
0
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