1980, 08-05 Permit: 80-8163 GarageDLAN NUMBER
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
7/1 (<1,7)/
LcIT BLOCK
SUBDIVISION
LEGAL DESCRIPTION — SEE ATTACHED
OWNER
I
3 (l7 e7.-
ArDD RESS
CbNTRACTOR
'4,1./1. "17,', / f'
ADDRESS
DESIGNER
5.
f .,
PHONE
PARCEL. NUMBER/S,
7 -ft? -4 °.
ZIP
tier ;
PHONE
i.r
Actual Set Backs in Feet
North o) ISouth,�.
Size of Parcel
�' a X /94
East 0; West 2
ZIP
Type Const.
Occupancy
Zone Classification
Sprinklered
❑Yes ❑No 0 Req'd.
PHONE
Valuation
Building Area in Sq. Ft.
<3 ,/.•C
ADDRESS
ZIP
Main Floor,
.37 -/
Upper Floors
Garage Area
Storage
CHANGE OF USE FROM
3.
TO
Area of Decks Finished
{:
e-ta
Base ent
TYPE
7. OF
WORK
a NEW
0 BLD.
O ALT.
O PLMB.
❑ AD'N.
❑ MECH.
❑ RPL.
❑ M.H.
❑ MVE.
❑ POOL
0 OTHER
No. Baths
No. Stories
No. Rooms
Unfin. Basement
No. of Dwellings
CERTIFICATE
of EXEMPTION
Req'd.
Rec'd.
Not Req'd.
DESCRIBE WORK �j
3. } d f,':;_.i :2 s. ;L-(1iL , L3 4. `,"
VALUATION SOURCE ELECTRIC
OF
). UTILITIES
C3AS
Enum. Dist.
ILocation (Area)
WATER
SEWER
Ownership
Public 0 Private a(
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 INSPECTIONS
DATE OF APPLICATION SIGNATURE OF APPLICANT -'
SPECIAL APPROVALS
NAME DATE
Env. Hea.lt
Pi -arming
"tvZ 0../m
Fire Marshall
Co. Engineer
Utilities
Plans Examiner
SEPA Checklist
B((yalding Tec11Lfniciarr
SPECIAL CONDITIONS:
PERMIT IS NONTRANSFERABLE
DCDIIAIT CVDIDCC ASIC \ICAO CQr IuI rIATC r1C Icc1 IAM(F
FEES COLLECTED
Single
Building
Plumbing
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL
$ ' )
PERMIT NUMBER
a G•*
*50006
*0,
3 1 6 2 -
08-05'-80
ag 6479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
0 81-0 5`-8.0
fIATC ICC! ICI -1
816.3z*50.00°H
DCQIIAIT AI/I Tr/TA I
HA 426 & D S r -'err"'