1980, 06-27 Permit: 80-6453 GaragePLAN NUMBER
/10- ��v, �
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
JOB ADDRESS
A//K-01v 0Z0g9
LEGAL DESCRIPTION —SEE ATTACHED
1. E. 14(el2i
LOT
BLOCK
PARCEL NUMBER/S
2. L
1
ISUBDIVISION
<$oo.o U/Ec, 4,040.
OWNER
PHONE
3. R `cffAQO /e695 -r9E
9re-:084
ADDRESS
ZIP
Actual Set Backs in Feet
I"lq'Z t,r'OrV IR .
[
7'G%(o
North South 3` l East 45 '4/'o West
CONTRACTOR
PHONE
Size of Parcel
Zone Classification
mina
/00 / 2 U
411570, S«/3 4f18 �k/
4.
ADDRESS
ZIP
Type Const.
Occupancy
Sprinklered
G
IV N M-1
R'3
Dyes ❑No ❑ Req'd.
DESIGNER
PHONE
Valuatio
Building Area in Sq. Ft.
ADDRESS
ZIP
Main Floor Upper
FlodVs
Garage Area
Storage
Z
CHANGE OF USE FROM
TO
Area of Decks
Finished Basement
Unfin. Basement
6.
I
,/
TYPE WIN
UO NEW I-] ALT. (�AD'N. ❑ RPL. ❑ MVE.
No. Baths
No. Stories
No. Rooms
No. of Dwelling
], OF El OTHER
❑ BLD. ❑ PLMB. ❑ MECH. ❑ M. H. ❑ POOL
CERTIFICATE
Req'd.
Recd.
Not Req'd
WORK
of EXEMPTION I
I
ll
V
DESCRIBE WORK
Enum. Dist.
Location (Area)
8 pE� ��� �
FEES COLLECTED
VALUATION
SOURCE GAS
ELECTRIC
WATER
SEWER
Ownership
USE COJE
(p(
UTILOITIES
Seje7 C
Public ❑ Private
Single $
I hereby certify that I have read and examined this application and have read the "NOTICE" provisions inclui
on reverse side, and know the same to be true and correct. All provisions of laws and ordinances governing
of work will be complied with whether specified herein or not. The granting
Building [' ,�type
of a permit does not presuto
give authority to violate or cancel the provisions of any other state or local law regulating construction or
performance of construction. SEE REVERSE SIDE FOR REQUIRED INSPECTIONS Plumbing
OF ��
�0�='�'Mech.
DATE APPLIC'kTION SIGNATURE OF APPLICANT`—)� �C
-
SPECIAL APPROVALS SPECIAL CONDITIONS:
KAME DATE f (�
I t h '
Manning
Fire Marshall
Co. En ee
Utilities
Plans Examiner
O 0> (
SEPA Checklist
nnician
� n i
PERMIT IS NONTRANSFERABLE
�i? Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL $ �-Ca
PERMIT NUMBER
Ta
u2* *5,600
0 o v�
*G600
R *C;)
f; 0
06-20=80
G. 647?
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
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