1980, 10-10 Permit: 80B-1824 GaragePLAN NUMBER
/L-
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APPLICATION/PERMIT
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
2.
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3_COPIES
JOB
�ADDRESS !7I//J
LOT rz BLOCKDuBDrsI51
LEGAL DESCRIPTION — SEE ATTACHED
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3. . .14.4 /� �
NER oC si.o-LYat7i
ADDRESS
I,S
OJ /51D 1 o{,/0-qj '.LJ Al; Merp-1 v r/./. M/
Co TRACTOR
4.
1' "�RyES�Si
DESIGNER
SIfp
PHONE
v2z-9Q,2to
PARCEL NUMBER/S/ 7S'/t2-v 73 L%
E, 2A1RES OFSs. of
ct Exc. w. /Ga' /jv/r y E1ce.N, zoo
OP`�o2ruv7,-y
;7-2s-45
ZIP
9024/0
Actual Set Backs in Feet
North 77 'South.43(../East RD
IWest /Q
PHONE
Size of Parcel
ZIP
Type Const.
Occupancy
Zone Clasicp Ion
414.1.11_Y
Sprinklered
❑Yes Ohio 0 Req'd.
PHONE
Valuation
O
s2 4/6" --
Building Area In Sq. Ft.
3G0/
ADDRESS
ZIP
Main Floor
Upper Floors
Garage Ajea
34.0
Storage
CHANGE OF USE FROM
6.
TO
Area of Decks
Finished Basement
Unfin. Basement
TYPE
7. OF
WORK
O NEW
❑ BLD.
0 ALT.
❑ PLMB.
O AD N.
O MECH.
❑ RPL.
❑ M.H.
❑ MVE.
0 POOL
cy OTHER
No. Baths
No. Stories
No. Rooms
No. of Dwellings
CERTIFICATE
of EXEMPTION
Req'd.
Recd.
Not Req'd.
N
DESCRIBE WORK
B. Del -ACHE() c5R/2.Gt
Enum. Dist.
Location (Area)
zi VALUATION
hl00dlla
SOURCE
OF
UTILITIES
GAS
ELECTRIC
WATER
SEWER
Ownership
Public 0 Private 14
USE CODE
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
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
DATE OF APPLICATION '-7-7D SIGNATURE OF APPLICANT
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE
Env
Planning
Fire Marshall
Co. Engineer
Utllitie
Plan
Examiner
SEPA Checklist
B
PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
FEES COLLECTED
Single
Building 7�
Plumbing
Mech.
Plan Check
SEPA
Mobile Home
Other (Specify)
dd
TOTAL
$ 414
eS
PERMIT NUMBER "
Boa- 1821
02* *4&00
*4'400
*44.00'6
A *doo
18232
10-10=80
2.6479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
(IC41411 :8'1,01
DATE ISSUED
•
1'8249
PERMIT NO.
*4,4'00.2
TOTAL