1980, 11-07 Permit: 80B-3440 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
JOB ADDRESS
.a.
LOT
2.do
Yd�•ON
/
3.
OWNER
PHONE
q'24— 2 Ott
LEGAL DESCRIPTION — SEE ATTACHED
PARCEL NUMBER/S / 7.5� — LLQG
A -o r s ,t3tn' 4 7 OO
/
b.a
AD 1. KESS
ZIP.
„. • -
CO TRACTOR
. .e /
A• •RESS
4 .L J. /
Q
Actual Set Backs in Feet
South 7%i
North
East //J We
Zone Classification
PHONE
Size of PPrcel /
FCX/2t, ,-
ZIP
Type Const.
DESIGNER
ADDRESS
CHANGE OF USE FROM
PHONE
Valuation
Occupancy
Sprinklered
❑Yes ❑No 0 Req'd.
Building Area lin Sq. Ft.
ZIP
ain Floor
Upper Floors
Storage
Pignithio./1 .40`
Unfin. Basement
TYPE.
7. OF
WORK
cK NEW
0 BLD.
O ALT.
O PLMB
AD N.
0 MECH.
❑ RPL.
O M.H.
O MVE.
O POOL
0 OTHER
No. Baths
CERTIFICATE
of EXEMPTION
DESCRIBE WORK
8.
VALUATIO
9.
SOUR E
OF
UTILITIES
GAS
ELEC RIC
WATER
SEWER
Enurn. Dist.
Ownership
Public 0 Private
Req'd.
Location (Ar a)
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
SIGNATURE OF APPLICANT
DATE OF APPLICATION /1— 7-84
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE
En
Appyalinli
Planning
Fire Marshall
CO. Engineer
Utilities
Plans Examiner
SEPA Checklist
Bu ding Tech • ician If
-Pia,,w,citedittet
:t -
PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
o. of Dwellings
Rec'd.
Not Req'd.
FEES COLLECTED
Single $
Building
Plumbing
Mech.
Plan Check
SEPA
Mobile Horne
Other (Specify)
TOTAL
JRMIT NUMBER
fSD1_21-3/H3
0+2* **44,00
*414.00 .N
*44.0.06
A *000 8
34392
11-0%—.80
2 6479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
•4Q;ODRP
O. —
i'i�:.e.qaa-0l 3aa o.z..
DATE IS UED' PERMIT NO. - TOTAL
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