1980, 06-27 Permit: 80-6437 GaragePLAN NUMBER
APPLICATION/PERMIT
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON/ SPOKANE, WASHINGTON 99260 1 (509) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
JOB ADDRESS
7 LEGAL DESCRIPTION — SEE ATTACHED
1 CIT Rl O _ 5 1R t ION PARCFLNOMRERIS
2. /3 1 /La T 1;��K
O ER PHONE
3. =-1?7;7 s14.06Y /ST AD
DRESS ZIP Actual Set Backs in Feet
TYPE 1jQ NEW ❑ ALT. AD -N. ❑ RPL. ❑ MVE.
7. OF ❑OTHER
WORK ❑ BLD. ❑ PLMB. ❑ MECH. ❑ M.H. ❑ POOL CERTIFICATE Req'd. I Rec'd. Not Req'd.
of EXEMPTION x
ESCRIBE WORK Enum. Dist. Location (Area)
8 FEES COLLECTED
VALUATION I SOURCE GAS LECTRIC WATER SEWER Ownership USE CODE
OF
9. UTILITIES
Public ❑ Private 911
Single $
1 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 Building_
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 Plumbing
DATE OF APPLICATION ff41-9 SIGNATURE OF APPLICANT Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE Plan Check
HeVh
Env.
SEPA
Planning
Fire Marshall
Co. Engineer
Plans Examiner
_
ding e�hnicia _ ,
PERMIT IS NONTRANSFERABLE
Mobile Home
Other (Specify)
Fc: MIT NUMC±ER
80 --(.4/3i —]
vC k i 50 0,
Y 5 C', 0
*50 C!Y
l.-: 4 5, b
06 2? -80
�. '77 9.
TOTAL $ -5—,Q
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
06427 80 6437'
*50,00°
-v-/-
North Z 7
South %
East West %
CONTRACTOR
PHONE
Size of Parcel
Zone Classification
ESS
ZIP
Type Const.
Occupancy
Sprinklered
Mlymlel
❑Yes ❑No ❑ Req'd.
DESIGNER
PHONE
Valuation _
Building Area in Sq. Ft.
5.
ADDRESS
ZIP
Main Floor
Upper Floors
Garage Area
Storage
/
��
d
CHANGE OF USE FROM
CHANGE OF USE FROM
Area of Decks
Finished
Basement
Unfin. Basement
6
T
No. Baths
No. Stories
No. Rooms
No. of Dwelling
TYPE 1jQ NEW ❑ ALT. AD -N. ❑ RPL. ❑ MVE.
7. OF ❑OTHER
WORK ❑ BLD. ❑ PLMB. ❑ MECH. ❑ M.H. ❑ POOL CERTIFICATE Req'd. I Rec'd. Not Req'd.
of EXEMPTION x
ESCRIBE WORK Enum. Dist. Location (Area)
8 FEES COLLECTED
VALUATION I SOURCE GAS LECTRIC WATER SEWER Ownership USE CODE
OF
9. UTILITIES
Public ❑ Private 911
Single $
1 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 Building_
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 Plumbing
DATE OF APPLICATION ff41-9 SIGNATURE OF APPLICANT Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE Plan Check
HeVh
Env.
SEPA
Planning
Fire Marshall
Co. Engineer
Plans Examiner
_
ding e�hnicia _ ,
PERMIT IS NONTRANSFERABLE
Mobile Home
Other (Specify)
Fc: MIT NUMC±ER
80 --(.4/3i —]
vC k i 50 0,
Y 5 C', 0
*50 C!Y
l.-: 4 5, b
06 2? -80
�. '77 9.
TOTAL $ -5—,Q
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
06427 80 6437'
*50,00°