1980, 04-22 Permit: 80-3796 Garage Addition1771-�
APPLICATION/ PERMIT
SPOKANE COUNTY - BUW&NG CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3 COPIES
JOB ADDRESS
2;�Izo _ ra LEGAL DESCRIPTION -SEE ATTACHED
tLo�LO O KBD I O PARCEL NUMBER/S ( O
2. 6e I t� �hW- �� MI 51-ti17 155
- I
OWNERr2
3.
ADDRESS�A 10 ' , + _� 15-1 *2 r4�1^v
CONTRACTOR
4. ADDRESS v
DESIGNER
ADDRESS
CHANGE OF USE FROM
6.
7/�'
Z I P522�
PHONE
ZIP
PHONE
ZIP
Actual Set Backs in Feej 11
I
Jorth South�'(;�, East West-�
iize of Parcel
Zo a Classifica on
1520
Type Const.
Occupancy
S4, nklered
Not jeq'd.
❑Yes ❑No ❑ Req'd.
/aluatio O
Building re. Ft.
Mainloor
Upper Floors
--
G—a-7rage A ea
Storage
,
VALUATION SOURCEJ GAS ELLE FRIC WATER SEWER OwnershiprUSE CODE
/�
_
Area of Decks
Finished Basement
i_
Unfin. Basement
No. Baths
No. Stories i
No. Rooms
No. of Dwellir
PERMIT NUMBER
&-9-3 71
02* *6200
*6200
*6200
E *0.00
379.52
04-22-80
-R 6,479.
TYPE ❑ NEW ❑ ALT. K AD'N. ❑ RPL. ❑ MVE.
7OTHER
, OF
WORK BLD. ❑ PLMB. ❑ MECH. ❑ M.H. ❑ POOL
CERTIFICATE
Req'd.
I Recd.
Not jeq'd.
of EXEMPTION
�/
DESCRIBE WORKEnum. Dist. Location (Area)
y�,// �� x O FEES COLLECTED
8
VALUATION SOURCEJ GAS ELLE FRIC WATER SEWER OwnershiprUSE CODE
OF
9, UTILITIESPublic ❑ Pivate
I
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
C '
Building
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/SNIDE FOR REQUIRED INSPECTIONS
Plumbing
Z7
1
DATE OF APPLICATION v v SIGNATURE OF APPLICANT -
Mech.
SPECIAL APPROVALS SP CIAL C NDITIONS: I
s
C � bu
NAME DATE S �f/ �i ��LI
V/
Plan Check
Env. Health rl�l�
® pV4NVL7
SEPA
Planning I
Fire Marshall
Mobile Home
Co. Engineer
Other (Specify)
Utilities
TOTAL $
Plans Examiner i
WHEN MACHINE VALIDATED IN THIS SPACE,
-§EPA Checklist
THIS BECOMES A PERMIT.
ding I nician - PERMIT IS NONTRANSFERABLE
0` S 2 2` 0 5 7 9, 6 z
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
DATE ISSUFn R PFRRAIT Nn
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