1980, 08-04 Permit: 80-8038 Garage NUMBER
PLAN APPLICATION/PERMIT PE
k:v1iT NUM,.;ER
,� /1L/ 0 ��'- 6 $ SPOKANE COUNTY — BUILDING CODES DEPARTMENT �gd, ,1:::,-,./..:: :,-
011NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
0JOB ADDRESS G * 5.6U
i ,12/6 /,/,y-vy LEGAL DESCRIPTION — SEE ATTACHED
'' , 0 C
LOT BLOCK SUBDIVISION PARCEL NUMBER/S
2. ''2 a dieic.Ks R,O,o * `., o 0
OWNER PHONE
—JON 44e,r 4'zPr?9 2/5-erk,-q0/v Pa - �` G
3 S.
ADDRESS ZIP Actual Set Backs in Feet c 0 3 7
E. HZ/C. // TN North 37' (SouthEast (West ..6.14'`
4 Q,�
CONTRACTOR PHONE Size of Parcel Zone Classification
4. R. K ai .c/I 465v-6943s- ROk /13 /..2/c. 6.. 4 7 c
ADDRESS ZIP onst. ccupancy Sprinklered
5 3'7O G60-.96".e.7), `5YZO7 T /(3 fr� Oyes ❑No 0 Req'd.
DESIGNER PHONE Valua 'on Building Area in Sq. Ft.
s AP 5 3 ao 598
ADDRESS ZIP Main Floor Upper Floors Garage Area Storage –
er--- c79.8 .—
CHANGE OF USE FROM TO Area of Decks Finished Basement Unfin. Basement
6. --__
./ ,/ No.Baths No. Stories No. Rooms No. of Dwellings
TYPE
KNEW 0 ALT. LI AD'N. 0 RPL. 0 MVE. j 1 I
7. OF 0 OTHER
WORK D BLD. 0 PLMB. 0 MECH. 0 M.H. ❑ POOL CERTIFICATE Req'd. Recd. Not Req'd.
of EXEMPTION V
DESCRIBE WORK Enum. Dist. I Location (Area) T
8. ,}7r/9C}d) ¢� FEES COLLECTED
VALUATION
SOURCE GAS ELECTRIC WATER SEWER Ownership USE CODE
OF
9. UTILLITIES /o7/C Public ❑Private Er 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 sC.
type of work will be complied with whether specified herein or not. The granting of a permit does not presume Building
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 INSPECTIO Plumbing
2 i 441(
DATE OF APPLICATION " 5 0 SIGNATURE OF APPLICANT / Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE rr1 Plan Check
Env. alto— / /(./ S 0 7.41C/96-40
�7 /� 4C/96-4J
`�� 3 � �1/ 4 SEPA n_
—F a r n `3
n
c3
— iii
Fire Marshall Mobile Home a
i,
Co. Engineer Other(Specify)
Utilities ,1r1
TOTAL $ ia''
Plans Examiner
Z c Rru_ ,0/60 WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist THIS BECOMES A PERMIT.
1
Building hnician PERMIT IS NONTRANSFERABLE / i.14:.3; 8 0 .3, S ° * 5 6. 0 0 a I.-
G/��� D U IAA) PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE I4UED D* o PERMIT NO. TOTAL
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