1980, 04-24 Permit: 80-3907 GaragePLAN NU ER APPLICATION/ PERMIT
SPOKANE COUNTY — PUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES, PRESS HARD TO MAKE 3 COPIES
JOB ADD ESS,�' f
1 � ��� 1:-5 LPN c LEGAL DESCRIPTION —SEE ATTACHED
1.2�L/ BLOCK SU IJ I,ON PARCEL NUMBER/S '75+
3 OW ER L, 1 IAGVV1A�ZL14i0
ADDRE SF/y I ►/,(�I(
P
q�;t-
Actual Set Backs in Feet fy
North South East I� West
CONTRACTOR.
PHONE
Size of Parcel
Zone Cla
sification
4. ADDRESS
ZIP
Type Const.
Occupancy
Sprinklered
v-
.+
❑Yes ❑No ❑ Req'd.
DESIGNER
PHONE
Valuatign
Building A,�Va in Sq. Ft.
5. ADDRESS
ZIP
Main Floor
Upper Floors
Garage A al<71r�,
Storage
CHANGE OF USE FROM
TO
Area of Decks
Finished Basement
Unfin. Basement
6.
L —.
.—
TYPE❑NEW ❑ ALT. MIAD
No. Baths No. Stories No. Rooms No. of Dwelling<
r'N. ❑ RPL. ❑ MVE.
7 OF
WORK BLD. 1:1PLMB. ElMECH. E]M.H. El POOL ❑OTHER CERTIFICATEReq'd. Rec'T Not R,eq'd.
of EXEMPTION V
DESCRIBE WORK Enum. Dist. Location (Area)
8 �i r K FEES COLLECTED
VALUATION SOURCE GAS ELEVRIC WATpE ' S WER Ownership USE CODE
9.
UTIOF
v ,�f�'v �% Public ❑ Private
LBuilding
gle $
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 regulat�in onstruction or the
performance of construction. SEE REVERSE SIDE FOR REQUIRED INSPECTIONS i//� _/ mbing
DATE OF APPLICATION �iC
SIGNATURE OF APPLICANT
SPECIAL APPROVALS SPECIAL CONDITIONS -
NAME NAME DATE D CS —
rm�
Env. Health i /'� � 1�"�
I
Planning
Fire Marshall i �1A
Co. Engineer
Utilities
Plans Examiner
--(oM R12 i t
SEPA Checklist
ng ec ician, PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
Mech.
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL $
r, ---.MIT NUMBER
e�C- .90 7
02* *5400
*56.00 N
*5,.001
E *0.00
379.28
04-22-80
6.479,
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
0'4'-24-80 3907
DATE ISSUED PERMIT NO.
*5&00°F
TOTAL