1980, 04-18 Permit: 80-3653 Garage Addition, RemodelPLAN NU. -re/..,
R." 4465
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 � ,I �j$� + V �{�-�'
2. lLo-ri ICKS MID�"r llLAA '7 �" r •'
DWrtEI[,1, Q. f2/tNI�iY
AD 14'Ie . I.)O- 1-4]J IRA 4`10.-
1. 1.
3.
LEGAL DESCRIPTION - SEE ATTACHED
PARCEL NUMBER/51 a I5 _I 05 .4
PHONE841_7/
Actual Set Backs in Feet
North 'South
East
(West 2-5
4.
CON4c0,6
ADDRESS
PHONE
Size of Parcel
1M x 8�
ZIP
Type Const.
Occupancy
51,red
❑Yes UNo 0 Redid.
Classlficat"n 1
kle U
aIC
5.
DESIGNER
PHONE
Valuation
Building Nei In Sq. Ft.
ADDRESS
ZIP
Main Flgor
Upper Floors Garage Area
Storage
CHANGE OF USE FROM
6.
TO
Area o Decks
Finished Basement
Unfin. Basement
7.
TYPE
OF
WORK
❑_ /NEW 0 ALT.
BLD. 0 PLMB
gi AD N.
0 MECH.
❑ RPL.
0 M.H.
❑ MVE.
❑ POOL
0 OTHER
No. Baths
No. Stories
No. Rooms
No. of Dwellings
CERTIFICATE
of EXEMPTION
Req'd.
Rec'd.
Not B.eq'd.
DESCRIBE WORK
8. "Pori -OKI
VALUATION
4 'L c t 6f
4`SE�WER
�✓f 1'v
SOURCE
OF
UTILITIES
GAS
ELECTytIC
Enum. Dist.
Location (Area)
Ownership
Public ❑ Private
�SE CODE
I hereby certify that I have read and examined this application and have read the "NOTICE" provisions included
on reverse side, and know the same to be true and correct. All provisions of laws and ordinances governing this
type of work will be complied with whether specified herein or not. The granting of a permit does no ume
to give authority to violate or cancel the provisions of any other state or local law re lating co u l0 or the
performance of construction. SEE REVERSE(^�SIDE FOR REQUIRED INSPECTION
DATE OF APPLICATION 'J�iT t) SIGNATURE OF APPLICAN
SPECIAL APPROVAL$
NAME DATE
Env /H
Planning
04,
Fire Marshall
Co. Engineer
Utilities
Plans Examiner
ToM 15.0.3 'ME WATT 517
SEPA Checklist
PECIAL CONDITIONS:
saw.$ cer ACI011I01J
q� F,&, 4r 1st:tot*L-
mm, -o 6v41400-_
PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
FEES COLLECTED
Single $
Building
Plumbing
Mech.
Plan Check
SEPA
Mobile Home
Other (Specify)
G�—
TOTAL $
PERMIT NUMBER
cot 3053
02* *8Q00
*80.00 tz
*8Q006
E *000 8
35552
04-16-80
6479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
0141lt'll1a;-181
DATE ISSUED.
3'165.'35 *80:0.0
TOTAL/
PERMIT NO.
a
_T
M _CIoJ
rt
-h
e'
4140.10 ttw
• •