1980, 06-27 Permit: 80-6415 Garage PLAN NUMBER APPLICATION/PERMIT PERMIT NUMBER
SPOKANE COUNTY — BUILDING CODES DEPARTMENT .7d_ 4 iL/ 1
NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509)456-3675
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
JOB ADDRECS�S LEGAL DESCRIPTION — SEE ATTACHED 2 * 2 0 0
LOT BLOCK SUBDIVISION PARCEL NUMBER/S c;()444$-5,013 t-,3 jI 9
7 * 2 R 0 0
2.
3.
....4.'el /0.e.1 7 '�� et �" . de\d p. 3
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RES // Pa 7 Actual/Set Backs in FeetQ 6 3 2,7 g
/5" 0 f , • 3� ifL'. North 1 f/ (South U Z East IC, (West -- 6 G p
ONTRACTOR- _ I / P O E Size of Parcel I Zone Classification 0 —2 6—3 0
,� 0� A ;' �' :t"- A CT c1 J. S c//317,e `laic/ - 6 4 7 9,,
4• //►gq�/QR `') �� (n" ZIP Type C�oj t,. Occupancy Sprinklered
/Gf /� 7 `- ,e C�'�=L� Yl'— 9 � njn/F^Z.J//tea— Dyes ❑No 0 Req'd.
DESIGNER PHONE Waludifon r `o Building Area in Sq. Ft.
5. ��JJJ /44'6' ..,57-2e)
ADDRESS ZIP Main Floor Upper Floors Garage Area Storage —
CHANGE OF USE FROM TO Area of Decks Finished Basement Unfin. Basement
6.
No.Baths No. Stories No. Rooms No. of Dwellings
TYPE NEW 0 ALT. 0 AD'N. 0 RPL. 0 MVE.
7. OF ❑ OTHER CERTIFICATE Req'd. Rec'd. Not Req'd.
WORK -
BLD. ❑ PLMB. D MECH. 0 M.H. ❑ POOL
of EXEMPTION
DE R E WC/4K , , Enum.Dist. Location (Area) '
e'er "t.1 I FEES COLLECTED
8. �►E
VALUATION SOURCE AS LECTRIC WATER SEWER Ownership USE CODE
I
9• /15: . UTILITIES Public 0 Private 0 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 e..00
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 `olate or cancel the provisions of any other state or local ' regulating con: tio,:,:h.e
ruc
performance of const T tion.SEE REVERSE SIDE FOR REQUIRED INSPECT(%!et,S Plumbing
DATE OF APPLICATION -- - / i SIGNATURE OF APPLICA "; 4 Mech.
SPECIAL APPROV'. SPECIA CONDITIONS:
NAME DATE Plan Check ,
Env. Ith
f �/ /v14
— Ces1V 7iC/fc•T (/71C` SEPA n_
Planning U
�A LU
Fire Marshall )1 `/2/ rd e.3"TrzpcTo4 Mobile Home -�
L
Co. EngineerOther (Specify).
Utilities
ti TOTAL $ �O•00
Plans Examiner
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist THIS BECOMES A PERMIT.
Buildin TechniiPERMIT IS NONTRANSFERABLE 0 i61'-2 7'— s U 611l,5 *2-8. 0 0 a F-
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9� f., �O �� y PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL
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