1980, 11-12 Permit: 80B-3573 Garage PLAN NUMBER APPLICATION/PERMIT P�t`.MIT NUMBER
/Z— C9 /�72,/ SPOKANE COUNTY — BUILDING CODES DEPARTMENT g� 7
J NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509)456-3675
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
JOB ADDRESS
LEGAL DESCRIPTION — SEE ATTACHED C w * (i 0 0
LO BLOCK I BLOCK SUB ON PARCEL NUMBERS2_7, * L_ i'. 0
2. OWNER VL I/.“,.'i�EV--ate-ill PHONE A./J7-// LK
3. 3'1. tee{ 9.2.-Q--=-3363— H//CZ ti j E i k1 E6 TA TES =', * 0 0 ,
A DRESS _ ZIP Actual Set Backs in Feet
p ' G I /
;.,..1.26',/L1 .e rt./L.I..�JI-'/�iQ__ SCJ Z/�ik. , Li4(2/4 North .10, 'South 0"3 East / 'West %3 3 t> 6 r_
ONTRA TOR PHONE Size of Parcel Zo a Classification
p'� � , (f" 11 7 80
�- � / �t.L-L.CI�C2��` :�:5.7�•d.�3 g �1'�•N£ /'�'G7 APP f �' �-��/�,� i -r'
4�/'/J1/'�DDR SS- 'J f �,{p ZIP/ r Type Const. Occupancy $$prinklered - 6(( 7 9
CA rW%/ �f',}) stet .7vle._ eil< Dyes ❑No ❑ Req'd.
DESIGNER/ PHONE V luation ao Building Area in Sq. Ft.
5. ADDRESS ZIP Main Floor Upper Floors Garage Area Storage _
��,zf
CHANGE OF USE FROM TO Area of Desi s Fi ished cement Unfin. Basement
No.Baths No. Stories No. Roo No. of Dwellings
TYPE V NEW ❑ ALT. ❑ AD'N. ❑ RPL. ❑ MVE. I J
7. OF l� II OTHER Req'd. Recd. Not Req'd.
WORK '•F' BLD. CI PLMB. ID MECH. ❑ M.H. ❑ POOL CERTIFICATE
of EXEMPTION X,
DDSCRIBE WORK ,f Enum.Dist. Location (Area) r
�/ .,,- Ofir-CaLd � I FEES COLLECTED
8.,(/ VALP AT�O�, SOURCE GAS ELECTRIC WATER SEWER Ownership USE CODE
`.A.5‘..,11— UTILITIES Public D Private Single $
I hereby certify that I have read and examined this application and have read the "NOTICE" provisions included �U _
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 /1 "-(e,''- Z1 SIGNATURE OF APPLICANT e,'--�- ('' ' ', / Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS: `
NAME DATE
-4:4f1/
� y1
/ GPlan Check
Env / elth
--itn _i"-e.e._ //
SEPA )-
Fire Marshall
71/as" �� Mobile Home J
ti
Co. Engineer Other(Specify)
Utilities I /Lx�`�,06
'r7�
TOTAL $ 4-5,---
Plans Exam, `
-""••• .111 0_ WHEN MACHINE VALIDATED IN THIS SPACE,
SEP• Check st THIS BECOMES A PERMIT.
B Acting Te nici PERMIT IS NONTRANSFERABLE 11 ,'� �-'80 7 *4 O 0 a H
�• F� 1' PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL
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