1980, 12-01 Permit: 80B-4272 Garage !PLAN NUMBER > PERMIT NUMBER
i �/� �� APPLICATION/PERMIT2
`` I / / SPOKANE COUNTY — BUILDING CODES DEPARTMENT �y�Q_�St.
(D/ NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509)456-3675
► APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3 COPIES
JOB ADDRESS 0 2 * * 5 0. 0 0
1. E.if5 31S curs LEGAL DESCRIPTION - SEE ATTACHED -, '-- G (,,c,
LOT BLOCK SUBDIVISION PARCEL NUMBER/S * (/ 0 C
2. 1 'R Vitous Ayr,iTIOIV
OWNER PHONE " * r i,, 6
3. -S YletES L = WI AN)somal QZ�o-Gct 13 23544- 1-Sb�
ADDRESS ZI (�� r Actual Set Backslin Feet /' 2 7. 1
153 1 s a T_11 i 1 z C L North 7v 1 'South a i East 74---‘ (West 6+ I 0
CONTRACTOR PHONE Size of Parcel Zone Classification - C i - '
4. ��mE x° ,wc5t`C Fwrn)4� 6 �? 7 9.
ADDRESS ZIP Ty a Co�n1s`t. Occ/�lpancy S rinklered
Sriina '// /"!_i ❑yes o 0 Req'd.
DESIGNER PHONE Valuation Building Area in Sq. Ft.
"f' or� -7Z 0
5. ADDRESS ZIP Ma niFlloorUpper Floors Garage Area Storage -
17-0 —
CHANGE OF USE FROM TO Area of Decks Finished Basement Unfin, Basement
6.
TYPEOlt No. Baths No. Stories No. Rooms No. of Dwellings
NEW LT. AD'N. 0 RPL. ❑ MVE. ..- 1 , I
gi7, OF 0 OTHER
WORK BLD. 0 PLMB. 0 MECH. 0 M.H. ❑ POOL CERTIFICATE Req'd. Rec'd. Not Req'd.
of EXEMPTION 1/
DESCRIBE WORK Enum.Dist. !Location (Area) r FEES COLLECTED
8. AMA CI-IEQ C-t A2ACI
VALUATION SOURCE GAS ELECTRIC WATER SEWER
OwnershipUSE CODE
O
"t,320 UTIPIFScJ=1c.. Public ❑Private 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 #.5:::).CO
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 reg lating construction or the
performance of construction.SEE REVERSE SIDE FOR REQUIRED INSPECTIONS Plumbing
DATE OF APPLICATION �N��e6, ;go SIGNATURE OF APPLICANT � 40
n. ''/ -c — Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE /,Q��/() �L,�/��p� Plan Check
Env. H /,..2.k
/ C I�N�°" / GC 1e=J�L 0�
SEPA >a
Planning C
C:
-
Fire Marshall Mobile Home L`'
U.
Co. Engineer Other(Specify)
Utilities
Plan / ni TOTAL $ SQ'-lS�d
al � WHEN MACHINE VALIDATED IN THIS SPACE,
•A Checklist 1 THIS BECOMES A PERMIT.
101
Building Technician I i �.
r� PERMIT IS NONTRANSFERABLE 1217:6 18 Q! 4 2 7.1.1 *.5 Q U:O 2.0
f
- ' �' /f + PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL
•
Niou_ooy srioN
'7+2(.21
)')
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v)S.x-17Z)
Iiel.st
(241-