1980, 09-02 Permit: 80-9395 GarageF'LHIV NUM[itK
APPLICATION/ PERMIT
SPOKANE COUNTY - BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
JOB ADDRESS
ZIP
LOT
BL K
2.
OWNER
��� West
3.
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
LEGAL DESCRIPTION — SEE ATTACHED
ON PARCEL NUMBER/S
a PHONE
VAJUoC, iIBW 7 C '?
ADD. ESS q
ZIP
Actual Set Backs in Feet
North 7'Y -A East
��� West
CO 4 TRAC OR
PHONE
Size of Parcel Zone Classification
4'
AD RESS
ZIP
Type Const.
Occupancy
Sprinklered
l.,7 i 7
❑Yes [-]No ❑ Req'd.
DESIGNER
PHONE
VaIS�ation
Building Area in Sq. Ft.
5.
,
ADDRESS
ZIP
Main Floor
Upper Floors
GarageArea
Storage
OF USE FROM
CHANGE OF USE FROM
of Decks
Finished BaCHANGE semeQt
Unfin. Basement
T�—
TYPE NEW ALT. AD'N. El RPL. El MVE.Area
� ❑yy�
No. Baths
No. Stories
No. Rooms
IN6. of Dwellings
% ❑OTHER
WORK El BLD. ElPLMB. ❑` MECH. ❑ M. H. ❑ POOL
CERTIFICATE
Req'd.
Recd.
Not Req'd.
of EXEMPTION
I
DESCRIBE WORK
Enum. Dist, Location (Area)
FEES COLLECTED
VALUATION, OURCE
OF
GAS
ELECTRI
WATER
SEWER
Ownership
USE CODE
y'Z
9.����UTILITIES
Public ❑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
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 construction or the
performance of construction. SEE REVERSE SIDE FOR REQUIRED INSPECTIONS(
Plumbing
// /GJC/i
DATE OF APPLICATION .� "_ `' �_' SIONAT[IRF- (1F APPI IrnnlT 1 ma Y)/ ./ t/��l/
Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE
Env. th
Planning
Fire Marshall
%IiL % Ow
Co. Engineer 1 /V &7.<
es
ner
ingTec4nician.•� PERMIT IS NONTRANSFERABLE
f' PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
Plan Check
SEPA
Mobile Home
Other (Specify)
t1 c'
TOTAL $c"�'
PERMIT NUMBER
rn 7,*50,00
*5000
937,2
08-291--80
6479,
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
09`-tZ-80 939.523
DA E ISSUED PERMIT NO.
*50.00°
TOTAL
r-"-