1980, 06-30 Permit: 80-6489 Garage, Renewal of 79-785PLAN 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.
JOB ADDRESS
LOT/ I B /73zidOCK DIV ION D N se y
OWNER
3 4Pie mei, A $5A71/6
ADDRESS
6 1011 igen /No.,E-,ey
CONTRACTOR
ADDRESS
4.
LEGAL DESCRIPTION — SEE ATTACHED
PHONE
9a- (55523
PARCEL NUMBER/S Q7 9 -. a3//
.`f97 cV-masa
JJb��sem:i7A
cS rvrfozEf /69. Des;.
aSno-
ZIP
94zex
Actual Set Backs in Feet
North 'South
East
(West
PHONE
Size of Parcel i
ZIP
Type Const.
Occupancy
Zone Classification
Sprinklered
❑Yes ONo 0 Req'd.
5.
DESIGNER
PHONE
Valuation I Building Area in Sq. Ft.
S7C
ADDRESS
ZIP ,
Main Floor
Upper Floors Garage Area
5-70
Storage
CHANGE OF USE FROM
6.
TO
Area of Decks
Finished Basement
Unfin. Basement
7.
TYPE
OF
WORK
O NEW
❑ BLD.
❑ ALT. 0 AD N. - 0 RPL.
❑ PLMB. 0 MECH. 0 M.H.
❑ MVE.
❑ POOL
Ls7 OTHER
No. Baths
No. Stories
No. Rooms
No. of Dwellings
CERTIFICATE
of EXEMPTION
R eq'd.
.Reed.
Not Req'd.
DESCRIBE WORK
Enum. Dist.
Location (Area)
VALUATION SOURCE II GAS ELECTRIC
OF
9. UTILITIES
WATER
SEWER
Ownership .J
Public 0 Private YJ
USE 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 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 APPLICATIO
SIGNATURE OF APPLICAN
Taal&
SPECIAL APPROWALS
NAME DATE
Env. Health
Planning
Fire Marshall
Co. Engineer
Utilities
Plans Examiner
SEPA Checklist
Buil "I:tech nician
en (ifrIO/f)
SPECIAL CONDITIONS:
Perrvecone. of 77: :MEG- ill fee
PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
FEES COLLECTED
Single $
Build, 9 r LCC
Plumbing
Mech.
Plan Check
SEPA
Mobile Home
Other (Specify/
TOTAL $ IGS#2:1
�I*ERMIT*'IUMBER
1 `
02* *.11.50
* 1 1.50 3
*.11.506
E *0.00 8
64882
06-30-80
2 6479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
61,3!:0;`:'80' 6148,95 *115=0I20F
DATE ISSUED
PERMIT NO. TOTAL
›-
0 -
CD a.O
U
J
LL