1980, 10-03 Permit: 80B-1400 CarportPLAN NUMBER
APPLICATION/PERMIT
10//0 SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3 COPIES
JOB ADDRESS
Lk -1'
L,BOCK
2.
LEGAL DESCRIPTION - SEE ATTACHED
SUBDI
OWNER
3 ADRESAI4SL'
A
6 g/ 9 I bG,'1
ONTR CTOR
4' ADDRESS
...2z) o f/ -
DESIGNER
PHONE
PARCEL NUMBER/5 .24,40-34-/ - v3�
SOT /cr!' °i Lvr t 'UF A—'r /5' 3
ZIP
q 9 -ZO C;
5. ADDRESS
6.
—36.56
u 1 D A 1.,t/ A/ PORK Ian
Actual Set Backs in Feet
North 69.. 1 'South .2-5' East 361' West
Size of Parcel Zone Cla;slfIcatl•n
X /3
CHANGE OF USE FROM
TO
PHONE
ZIP
Type Const. Occupancy Sprinklered
❑Yes ❑No 0 Req'd.
Valuation D e
JT/
Main F16or- Upper Floors (,.G ge qua
Finished Basement
Building Area in Sq. Ft.
Area of Decks
Storage
Unfin. Basement
TYPE
7. OF
WORK
❑ NEW
O BLD.
O ALT.
O PLMB.
AD'N.
❑ MECH.
❑ RPL.
O M.H.
O MVE.
O POOL
0 OTHER
No. Baths
No. Stories
l
No. Rooms
No. of Dwellings
CERTIFICATE
of EXEMPTION
Req'd.
Recd.
Not Req'd.
DESCR E.WORK �r
ALUATION SOU E G S ELECTRIC
O
---UTILITIES
Enum. Dist.
ILocation (Area)
WATER SEWER
Ownership
Public ❑ Private
USE CODE
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
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
DATE OF APPLICATION %� � -S)0 SIGNATURE OF APPLICANT f?'?€/€/
SPECIAL APPROVALS
NAME DATE
anni g
Pl
Fire Marshall
Co. Engineer
Utilities
Plans Examiner
SEPA Checklist
BAildin�hnici
SPECIAL CONDITIONS:
PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
FEES COLLECTED
Single $
Building c7,5-°e)
Plumbing
Mech.
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL $
-PERMIT NUMBER
8Oi3-f,{
02* *2500
* 2500
* 25.006
A *Q00 0
139.98
10-03-80
g 6479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
110-'031.8'0
DATE ISSUED
1'4 0.0'z
PERMIT NO.
*25,00°pi
TOTAL