1980, 09-05 Permit: 80-9696 GaragePLAN NUMBER
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
1.
2.
3.
JOB.ADDRESS
LOT BLOCK
(0
5 V ION .
'U7t-42.? _ (&itial its �dltvv ��LK /54
PHONE
ZS -3-7,35
CANER
.6-(r
LEGAL DESCRIPTION — SEE ATTACHED
PARCEL NUMBER/S 1•-�/�[/ -Q `/L ,
LVT /3'-K 2 tJSR'4
/34.411-: % KAN5d4/ 31-106 70
ADDRESS
�'Y. 9 / 2 -»-- '90,Lfi fa b.
CONTRACTOR
e-4,724..1)
a. ,
AD RESS f7 o
JAS G E /46 ' A(,f�,a CA �C2i4.t scO,
5.
ZIP
996S7
PHONE
3.pt-s5--(3 s//
ZIP
g9 _.s
Actual Set Backs in Feet /
North / 7 'South CO 7 East di/
Zone Classification
Sprinklered
(West %C5
Size Of Parcel
/6»')(fit
Type Const.
Occupancy
❑Yes ❑No 0 Req'd.
PHONE
Val ation
/'L79,-5- ---
ADDRESS
ZIP
Main Floor
Upper Floors
Building Area in Sq. Ft.
e'A
Garagr0D,
CHANGE OF USE FROM
6.
TO
Area of Decks
A
Finished Basement Unfin. Basement
Storage
TYPE
7. OF
WORK
NEW
0 BLD.
O ALT.
O PLMB.
O AD N.
O MECH.
O RPL.
O M.H.
O MVE.
❑ POOL
0 OTHER
No. Baths
No. Stories •
/
No. Rooms
NO. Of Dwellings
CERTIFICATE
of EXEMPTION
Req'd.
Recd.
Not Req'd.
DESCRIBE WORK
8. /J-1(.tzci 2,9. atetd € 1 -et
6VALUATION
79
SOURCE
OF
UTILITIES
GAS
ELECTRIC
Enum. Dist. I Location (Area)
WATER
SEWER
Ownership
Public 0 Private
USE CODE
I hereby certify that I have read and examined this aiSplication 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
fiSIGNATURE OF APPLI CANTQ`� �d 7��'
DATE OF APPLICATION 9-0—
SPECIAL APPROVALS
NAME DATE
Planning
Fire Marshall
Co. Engineer
Utilities
Plans Examine
SEPA Checkl
Bull• ing TechnIcian
SPECIAL CONDITIONS:
(2,C24.f,4-0-. O K o .-051-�/
,f v., ,64.Z /(L6C p
Ck/ CrfH 1;LZL Ti�i 8 L� P.yGZ LA:at'
PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
FEES COLLECTED
Single $
Building
Plumbing
Mech.
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL
PG
rNIT NUMBER
So -9690
02* *3800
*3'8.00 17)
969.5E
09=0580
s 6479,
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
•
DATE 0 �9s Q151' 3(0
969,6a ++1318.00 -
PERMIT NO. TOTAL
T
0O
• cf.3 (1/2 S?7c,24,,'e
Lets,
VerA
- i0 7- % , .b Loc is
c- a- /-/44/sot,
S -D
03L A/e/Y<s
228 S.7.3
A,
v
(Po M e_ ,
a •