1980, 11-17 Permit: 80B-3780 Carport PLAN NUMBE= ( APPLICATION./PERMIT PErtNilT NUMBEp
/c//7A° 8 3 -3750.
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
01 NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509)456-3675
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
JOB ADDRESS 02 * * 1 E 00
1 �. , LEGAL DESCRIPTION — SEE ATTACHED
LO t BLOCK IVIS/ON PARCEL NUMBER/S/6,:f-,,4,...3..._61,-.3/ 7 * 0 0 of
2.
OWN_ R /� PHONE Ji ! 74� II G r !c /J` /« 3 �fAWAY 0 0 U
3. a %tet Ate' ri.?.� 2?ir.`123. ,3 ( /az7//// v.�' ' U,s/i%y A * c00
ADDRESS 2 Q �`� ZIP Actual Set Backs in Feet 3 7 z Q o
��/'�/j. --f.)._-'1 .,F1,,[,�.J, 4JV(J . J. -��J✓6 Cf f^'(—<:.)6' North r (South East.9CC� / (Wes 1 c
CQPITRACTOR PHONE Size o Parcel Zor�e Classification — (I— 0
4. If,0.1r tc:L_- IOC, ?e 12–e. elea1,,, i.4i3.4iesH�
ADDRESS ZIP Type Const. Occupancy Sprinklered 6 4 7 9
40,44,4.Z.f ❑Yes ❑No 0 Req'd.
DESIGNER PHONE Valuati n Building Area in S Ft.
5. ADDRESS ZIP Main Floor Upper Floors Garage —
CHANGE OF USE FROM TO Area of Decks Finished Basement Unfin. Basement
6. —
TYPENo.Baths No. Stories No. Rooms No. of Dwellings
y�[NEW 0 ALT. NI AD'N. 0 RPL. 0 MVE.
7. OF ( 0 OTHER Req'd. Rec'd. Not R�ef''d.
WORK ��eLLLIII BLD. 0 PLMB. 0 MECH. 0 M.H. 0 POOL CERTIFICATE
L, of EXEMPTION
8
DESCRIBE WORK Y <I� ) ' Enum.Dist. I Location (Area) T
d./1-.. i� d— / . ,•� i1� r�n I FEES COLLECTED
VALUATION SOU E i GAS ELECTRIC WATER SE ER Ownership _//USE CODE
41.62 UTILITIES I� Public ❑Private IIS
Single $
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 �p
type of work will be complied with whether specified herein or not. The granting of a permit does not presume Building
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
s
t.,
DATE OF APPLICATION r ---/3_� -3-ed SIGNATURE OF APPLICANT 4 Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS: /
NAME DATE
Plan Check
Env./en ,t
e. L///l4 �iUUL'✓i i1'K _ itt,-"f. ek SEPA
n
Planning
(/ `>
Fire Marshall - - ' Mobile Home u
Co. Engineer Other (Specify)
Utilities
TOTAL $ .--,"'
Plans Examiner
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist THIS BECOMES A PERMIT.
y
B '(din• Tec nician fWI.
PERMIT IS NONTRANSFERABLE 1141411 3,7.8.0 Si !t 1 6,0 21-2
A A./a i A /4.1..1-,e1 PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL
1N,- 0e,id 0 o4A29-11
- c7 il
`)/\-Ni 1\11Vp
2_
(17
901