1980, 05-06 Permit: 80-4392 Garage Addition_.rvioo.r<
APPLICATION/PERMIT
SPOKANE COUNTY - BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
2.
3
4.
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
JOB ADORE S• 1
LOT �2
731��ON
BLOCK
7
OWNER
ADESS
t 75c) I.0 —14
cogN C
Kaolivr or 13i-dgK
r
roEg
ADDRESS
LEGAL DESCRIPTION — SEE ATTACHED
PARCEL NUMBER/S 1 r1 — 0,og.)
PHONE
Actual Set Backs in Feet
North .15-2- South
DESIGNER
5. ADDRESS
6.
ZI P
Size ofpa rcel
&I SC I4f-c2
Type Const.
East
Occupancy
(West
Zone Classicatio
c -a..11,05
PHONE
Valuation
Sprinkrered
❑Yes ❑No ❑ Req'd.
Building Area in Sq. Ft.
CHANGE OF USE FROM
ZIP
Main Floor
Upper Floors
Storage
TO
Area of Decks
L—
Finished Basement
Unfin. Basement
7.
8.
9.
TYPE
OF
WORK
❑BLBLD.0 ALT. YJ AD'N. 0 RPL. ❑ MVE.
D. ❑ PLMB. 0 MECH. 0 M.H. 0 POOL
DESCRIBE WORK
Vf Tr y1"\ SOURCE EL TRICWATER
�j OFGAS
UTILITIES
❑ OTHER
No. Baths
No. Stories
No. Rooms
No. of Dwellings
CERTIFICATE
of EXEMPTION
Req'd.
Rec'd.
Not RBQ'd.
Enum. Dist. I Location (Area)
SEWER
Ownership �/
Public ❑ Private Id"
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 construct_on or the
performance of construction. SEE REVERSE SIDE FOR REQUIRED INSPECTIONS
DATE OF APPLICATION
SPEGIAL APPROVALS
NAME DATE
Env.
Plan in
571
Fire Marshall
Co. Engineer
Utilities
1..a s EJcaminer
JiiAar7/7"
SEPA Checklist
ilding
ch 'clan
SIGNATURE OF APPLICANT /W
SPECIAL CONDITIONS:
,prJva- 7L,A4 tri tsr•lev
4/1L 10 Oh] Ni tqa
PERMIT IS NONTRANSFERABLE
FEES COLLECTED
Single $
6'9
Building
Building
Plumbing
Mech.
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL
PERMIT NUMBER
02* *5600
*5400 5
*56006
E *000
430,82
05-05-80
6479,
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATF ISSI IFn ! j 0
4'3 "9.2 z *16.0. 0;
DC01.11T n1�