1980, 04-09 Permit: 80-3246 Garage, Renewal of N2563 PLAN NUMBER APPLICATION/PERMIT PERMIT NUMBER
SPOKANE COUNTY — BUILDING CODES DEPARTMENT 76 _ zk
NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509)456-3675
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
JOB ADDRESS t ' Ci 2 * * 1 5 0 0
P 2,6 1/4. A/,'/.I► '1 LEGAL DESCRIPTION — SEE ATTACHED
LOT BLOCK "1. SC1BD1 I IONadd. PARCEL NUMBER/S * 1 5 0 0 u
2.
O ER PHONE (07 !� 0i./� VRA-/ y HOMR� A Ail E * 0.0 0 cn
3. AI )d�Li 9 .t,_.,3i/P4 r/ ivrweep oRC:, AR.1
/,,t
DRE��fS��i ,�,, //ffa� � J.,/2.0-4..4,444_,
/Dn ,,��,r ZIP f Actual Set Backs in Fee • 3 2 4, 5
/L�K4,:5 �.,LIJ,%J or)/2 I...Gf„- 4J 9q ZJ , North 'South EastA IWest p 4—0 9—8 0
CONTRACTOR PHONE Size of Parcel' Zone Classification
4. 44,1 L.L.- 44 SX I,'0 6,4 7 9,
DRESS ZIP Type Const. Occupancy Sprinklered
-44 1-.' ❑Yes ❑No ❑ Req'd.
DESIGNER PHONE Valuation Building Area in Sq. Ft.
-- hh
5' ADDRESS ZIP Main Flpor Upper Floors Garage Area Storage _
52 ,;2.g'
CHANGE OF USE FROM TO Area of Decks Finished Basement Unfin. Basement
6. —_
TYPENo.Baths No. Stories No. Rooms No. of Dwellings
❑ NEW 0 ALT. 0 AD'N. 0 RPL. 0 MVE. .— / Z
7. OF yiOTHER
MSCRIBEWORKA )
BLD. 0 PLMB. 0 MECH. 0 M.H. POOL CERTIFICATE Req'd. Recd. Not Req'd.
exlyd of EXEMPTION
Enum. Dist. ILocation (Area) FEES COLLECTED
S/�/��r / /``/ff�TRIL.4)1 . /`,v�y'4Rd Nff--.2si JJ I
Ownership USE CODE
OF
9. UTILITIES _ Public ❑Private IX Single $
I hereby certify that I have read and examined this application and have read the "NOTICE" provisions included
1. 490 _
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 •
le
DATE OF APPLICATION 4— -�d _ _ SIGNATURE OF APPLICANT N "f % ri. -
d Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS:
Plan CheckNAME DATE
Env. Health n a4,4} N— /.3 SEPA
Planning /a1'' , Gj , ll- J�,e+ , q icCi OC)
—
Fire Marshall Mobile Home w
J
si
Co. Engineer Other (Specify)
Utilities
TOTAL $ J.-7
Plans Examiner
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist THIS BECOMES A PERMIT.
B ildin Technicj4n PERMIT IS NONTRANSFERABLE u 4` 0'9 -'8 0 5 2 4,6 0 * 1 5.0 0 2 -
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL