1980, 04-23 Permit: 80-3882 Garage PLAN NUMBER lIERMIT
I —APPLICATION/PERMIT
SPOKANE COUNTY BUILDING CODES DEPARTMENT 3NUMBER
so
82
NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509)456-3675
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
JOB,�DORESS 0L * * 56, 00
1. f10. 17 6t p T �, LEGAL DESCRIPTION — SEE ATTACHED * u 0
2
LOT BLO74YK SUBDIVISIONrra ,� 1410 1� PARCEL NUMBER/S I� y� y 1,17 * 5 6 0 0 6
OWNER I'r`w` �[�(„�\. If P ONE � +� E * �i (� 0
3. C,�p\ ,R 5 KI 51- -r � 1053 _
ADD EIS +0 6,114_ �71pj Actual et Backs in Feet 5 1 3.9
r 67 4 'jr�t ✓/® 1 North - (South East I [West
CONT AC O PHONE Size bf Parcel Zone Classification 0 4—0 7—8 0
j X / 5r R IO. 10- g 6479,
4' •
ADDRESS ZIP Type Const. Occupancy Sprinklered
Dyes ❑No ❑ Req'd.
DESIGNER PHONE Valuation100Buildin1A Bain q. Ft.
5' ADDRESS ZIP Main Floor Upper Floors Garage Area Storage _
CHANGE OF USE FROM TO Area of Decks Finished Basement Unfin. Basement
6. -- —
El/NEW
,/ No.Baths No. Stories No. Rooms No. of Dwellings
TYPE
LJ NEW 0 ALT. 0 AD'N. 0 RPL. 0 MVE.
7. OF ❑ OTHER -
WORK
g/
BLD. 0 PLMB. 0 MECH. 0 M.H. 0 POOL CERTIFICATE Req'd. Recd. Not Req'd.
of EXEMPTION
DESCRI WOREnum.Dist. (Location (Area) T
8. " r - " �C cf-4 �its,tV_ / -- 2-,6 1
FEES COLLECTED
VA ATION SOURCE GAS ELECTRIC �oWATERo,p SEWER Ownership USE CODE
9. UTI LITI ES f� ccot`�•INF-. I5rrr
, Public ❑Private VSingle $
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 this547/
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 INSPECTIIO� Plumbing
—�� .Ary L _/%� / -' - Mech.
DATE OF APPLICATION �' SIGNATURE OF APPLICAN
SPECIAL APPROVALS SPECIAL CONDITIONS: C57)
/
NAME DATE �'1,.�- - I ( ° ' ')
,�,s}� ls�►� Plan Check
E. ealth t k-(����c
// //.7 SEPA o
PI. Hing
HAIL --r° 0 w - U
Mobile Home LU
Fire Marshall 'J
is
Co. En eer 7 Other(Specify)
Utilities
TOTAL $
Plans Examiner
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist THIS BECOMES A PERMIT.
Vding niciap PERMIT IS NONTRANSFERABLE O'4,'.-2'3--8 03'$ 8,2 0" * 5 6ro.o o.. _ -
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL
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