1980, 09-02 Permit: 80-9394 GaragePLAN NUMBt _ 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
LEGAL DESCRIPTION — SEE ATTACHED
y
LOW
BLOCK -ISU]j3DlVI5IONf
PARCEL NUMBER/S
OWNER
PHONE
3.
I
ADDRESS ) v
ZIPµActual
Set Backs in Feet
/ r
Z LYb .�C
V e, _
North !1 South "2,7j
East West
C7q(4TiAAcTok
PHONE
Size of Parcel d
Zone Classification
4. ADDRESS
ZIP
Type Const.
Occupancy
Sprinklered
6
❑Yes ❑No ❑ Req'd.
DESIGNER
PHONE
Valuation
Building Area in Sq. Ft.
5.
ADDRESS
ZIP
Main Floor Upper
Floors
Garage Area
Storage
CHANGE OF USE FROM
TO
Area of Decks
Finished Basement
Unfin. Basement
6.,.
TYPE � NEW El ALT.
AD'N. El RPL. El MVE.
No. Baths
No. Stories
No. Rooms
N•. of Dwelling
7, OF
�
y, 1OTHER
/
ElE
BLD. ❑ PLMB.
--I El
%MECH. M. H. ❑ POOL
CERTIFICATE
Req'd.
Recd.
Not Req'd
WORK
of EXEMPTION
DESJCRIBE WORK
,
Enum. Dist. I
Location (Area)
n
8.
FEES COLLECTED
OURCE
GAS"
ELECTRIC
WATER
SEWER
Ownership
USE CODE
!//,/VALUATION
y, /•��--',"=.JL1--
UTILITIES
Public El Private
Single $
1 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 4�
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 constr ction or the
performance of construction. SEE REVERSE SIDE FOR REQUIRED INSPECTIONS Plumbing
,r -Mech.
'-"
DATE OF APPLICATION.
_ _ SIGNATURE OF APPLICANT - r �,_._
SPECIAL APPROVALS SPECIAL CONDITIONS:
nio NA noir
Plan Check
1&1c- 7`6 d e,)A) &L
PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
SEPA
Mobile Home
Other (Specify)
PERMIT NUMBER!'
* 5 Q,( 0 n
*50-C 061
E *O( 0
9373
08-29"-80
6.479
TOTAL $ _'i z)
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
a9t-�fl"�' 8`0 939,42
DATE ISSUED PERMIT NO.
o -J
* 5 0. UkL`--
P ROPo-.E,p
vARAU-
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