1980, 12-19 Permit: 80B-5116 Remodel GaragePLAN NUMBER
R.- 3001,J/ a//9/fe)
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.
JOB ADDRESS
t,,i. I314 -
LOT
OWNER
fRArIK
1-1F-RALD R.0AD
LEGAL DESCRIPTION — SEE ATTACHED
BLOCK
SUBDIVISION op OPPOQ-rotNtT'
RANAMs SttBD1)/IS) 4off-`r cr 26-425
ADDRESS
N . 13) - N ERALI) )2oA2
JAW SoN
PHONE
%24 - 27O8
PARCEL NUMBER/S 1-1514/,— O $O Jr
ZIP
Y 12o(p
Actual Set Backs in Feet
North e4/Sr. (South O)C!S'T
CONTRACTOR
a. BK.A)NAI�D
ADDRESS M »IQL LAr(E,
P. o . 8Dx 145 sikotatie-
DESIGNER
5' ADDRESS
PHONE
z:1 - 3116
Size of Parcel
Sof x 301. (08
East 61)S -T IWestt.XIS-7
Zone Classification
AGgtmcruR L_ s/148
ZIP q
Type Const.
V_hy
Occupancy
R-3
Sprinklered
❑Yes ❑No 0 Req'd.
PHONE
Valuation
41(0000 ?-iv
Building Area in Sq. Ft.
z.jfo
ZIP
Main Floor
24 a
Upper Floors Garage Area
Storage
CHANGE OF USE FROM
6.
TO
Area of Decks
Finished Basement
Unfin. Basement
TYPE
7. OF
WORK
❑ NEW L7 ALT.
R BLD. ❑ PLMB.
❑ AD N.
❑ MECH.
❑ RPL.
❑ M.H.
❑ MVE.
❑ POOL
0 OTHER
No. Baths
No. Stories
No. Rooms
No. of Dwellings
1
CERTIFICATE
of EXEMPTION
Req'd.
Rec'd.
Not Req'd.
L --
DESCRIBE WORK
8. IcMoIDEL £X/Sc iNCz C A1 G (tot' r-att''3jj i&f i SAT ' E'Cc
&'VALUATION y v✓
9. o O e
SOURCE
OF
UTILITIES
GAS
Enum. Dist.
Location (Area)
ELECTRIC ATER SEWER
ePrt
Ownership
Public 0 Private 11, --
USE
.
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 instruction or the
performance of construction. SEE REVERSE SIDE FOR REQUIRED INSB
DATE OF APPLICATION �GF-t . /7- a:, SIGNATURE OF APPLICANT
SPECIAL APPROVALS
NAME DATE
Envie Ith
Planning
Fire Marshall
Co. Engineer
Utilities
Plans Examiner
I` SEPK ec ckli5 w41T 1�/t i v
Build inCician
L,
SPECIAL CONDITIONS:
CoArrie 7o2S 510 ®N geivinOift_ of GA
PERMIT IS NONTRANSFERABLE
FEES COLLECTED
Single
Building
Plumbing
Mech.
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL $ • 6'o
PERMIT NUMBER
eC) — >! 1'
5 . L
*5';i('Y.
1 I,52
12 19- u
6.479
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
5'11.'62 *5G:04a.II-- -
G
u