1980, 07-01 Permit: 80-6527 Garage PLAN NUMBER APPLICATION/PERMIT PERMIT NUMBER_ •
66
SPOKANE COUNTY — BUILDING CODES DEPARTMENT 2- .T
NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509)456-3675
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
JOB ADDRESS OL * * SO.GG
LEGAL DESCRIPTION — SEE ATTACHED
1. 123 <a * 5000
LOT BLOCK SUBDIVISION >0L(f+ PARCEL NUMBER/5
l.Ac /rte, rt — p i CJ * 5 0,0 0
O NER I I PH •. 15Y I.0� _ '° 1 1, I C�
3.
ADDRESS 1ki , iC �(P,O Actual Set Backs in Feet ALS, / 6 5 2 1
� ‹ D - i lif\� ���yt/� North 'South East '/ 'west CY
CONT c' HONE Size of Parcel Zone Classification 0 7—0 —8 0
a. 7� k 14.<7
0
/ ii.e--110-, -2 6479.
ADDRESS ZIP Type Const. Occupancy Sprinklered
❑Yes ❑No D Req'd.
DESIGNER PHONE Valuationl� � Buildiwa Sq. Ft.
5. ADDRESS ZIP Main FloorIl{{ Upper Floors Garage Area Storage _
CHANGE OF USE FROM TO Area of Decks Finished Basement Unfin. Basement
6.
TYPE ,,/+ No.Baths No. Stories No. Rooms No. of Dwellings
LYJN W ❑ ALT. ❑ AD'N. ❑ RPL. ❑ MVE.
7. OF ❑ OTHER
WORK BLD. D PLMB. ❑ MECH. 0 M.H. 0 POOL CERTIFICATE Req'd. Recd. Not Rem!
of EXEMPTION r/
DESCRIBE W RK Enum.Dist. Location (Area) '
8. �' L' � ..1,6.,-1,9\ -r7"T I - > - I FEES COLLECTED
VALUATION SOURCE GAS ELECTRIC WATERSEWER
OF ry,��� Ownership s..//USE CODE
9. UTILITIES CON f �G Public 0 Private Id
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 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 U .J Ci ' rd SIGNATURE OF APPLICANT /a...,.4 .. ;`/ Mech.
SPECIAL APPROVALS SPECIAL DITIONS:
NAME DATE r , ham( K wi a, Plan Check
v. Health j IAV I 17�Y//�
/lI/i1/S / GI` V. �`i��I l0 F� SEPA a_
Planning MII + 0
L f�
Mobile Home uJ
Fire Marshall —J
AO �•o 5-, /9�U 19'77'44cbeez)
Srte-
Co. Engineer Other(Specify)
Utilities TOTAL $5O -
Plans Examiner
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist THIS BECOMES A PERMIT.
B 'ding Technician ,, PERMIT IS NONTRANSFERABLE p.7,-,10,1.-8..0 6 5 2,7 z * 5 O. 0 0 2
,.._ . r7,2,.1/4_,--c PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL
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