1980, 09-19 Permit: 80B-5075 GarageLAN NUMBER.
to/
yMpro
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.
4.
JOB ADDRESS
5.9z4/ A/cwea
LOT BLOCK (SUBDIVISION
3
OWNER
23/4(-- BE/K_
ADDRESS
CONTRACTOR
LEGAL DESCRIPTION - SEE ATTACHED
Z tQAcu/v5 EAST
Swite
ADDRESS
DESIGNER
5.
ADDRESS
PHONE
9-393/
PARCEL NUMBER/5
Z35y/- 2463
ZIP
x-/037
Actual Set Backs in Feet
North S y 'South 47
East 3) IWest 33
PHONE
Size of Parcel
97x / 3
ZIP
Type Const. Y Occupancy
Zone Classification
S/iVc e ri9n14.'/
Sprinktered
❑Yes ❑No 0 Req'd.
PHONE
uation
,900
Building Area in Sq. Ft.
9e7 s
.ZIP
Main Floor
Upper Floors
Garage Area
982:C
Storage -
CHANGE OF USE FROM
6.
TO
Area of Decks
Finished Basement
Unfin. Basement
TYPE
7. OF
WORK
L�7/NEW 0 ALT.
KJ BLD. 0 PLMB.
PJ AD N.
0 MECH.
❑ RPL.
❑ M:H.
❑ MVE.
❑ POOL
0 OTHER
No. Baths
No.
Stories
No. Rooms
No. of Dwellings
,1
CERTIFICATE
of EXEMPTION
Req'd.
Recd.
Not Req'd.
1'
DESCRIBE WORK
8. Arica/CAD c5',e9, 41 q-
Enum. Dist.
Location (Area)
ALUATION
6100
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. ERSE SIDE FOR REQUIRED INSPECTIONS.
SOURCE
OF
UTILITIES
GAS
ELECTRIC
WATER
SEWER
Soon
Ownership el USE CODE
Public 0 Private
DATE OF APPLICATION
SPECIAL APPROVALS
NAME DATE
Env. alth
/cct� 9/2,2'
Planning
Fire Marshall
Co. Engineer
Utilities
Plans Eaaml
SE AChecklis
Building Technician
SPECIAL CONDITIONS:
PPL(CANf
?o w 47T4chr.tFj
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
(PERMIT NUMBER -
]IE -MINS
02* *74.'O,O
*74.0'0
*7410106
A `*'Qj0 0 8
5572•
64,79,
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
019 hi9� ;:8'0
DATE ISSUED
PERMIT NO 7, G'5' *7 TOTAft -
*
U
W
J
ra\ f 1e
Gx;Sti'\5
Hopekce
a�
tie6e; f-
3`
23"
,i
f
96
in