1980, 10-31 Permit: 80B-3040 GaragePLAN NUMBER APPLICATION/ PERMIT PL'R7,IIT NUMBER
901 _ 6/'
i019118c' SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
DESCRIBE WORK Enum. Dist. 1 Location (Area)
FEES COLLECTED
8. 2k 7"qc: NEO i..r -C A45
�VALUATION SOURCE GAS ELECTRIC WATER SEWER Ownership USE CODE
S '%/� UTILOITIES p�IG Public ❑Private Single $
1 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 0 -se.. "G
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 Plumbing
Mech.
I 0
F. Li l 0,
SPECIAL APPROVALS
APPLICANT:
COMPLETE NUMBERED SPACES — PRESS
HARD TO MAKE 3 COPIES
NAME DATE
JOB ADDRESS
Plan Check
SEPA
Env. Health
LEGAL DESCRIPTION — SEE ATTACHED
1.
f.4371z
_31S;—
Planning
Mobile Home
W
LOT
BLOCK
SUBDIVISION
Other (Specify)
Qg Lry
TOTAL $�
PARCEL NUMBER/S
Utilities
2f
1"6
/Z
�%d4ry 7/1
I✓f �� t,7r
SEPA Checklist
IS NONTRANSFERABLE
OWNER
PHONES
3.
ORG viV
M- / E� r9l+i
DATE ISSUED PERMIT NO. TOTAL
z"". C�
X75 :�� �/ z11 - I z Ir -
ADDRESS
P
ZIIP
Actual Set Backs in Feet
e?
�1
'7` j3 '
C, /3%z
-3/Si
79211!
--'East
North South
West
CONTRACTOR
PHONE
Size of Parcel
Zone Classification
cS
8,/ X e5&1144
-,el.
4
ADDRESS
ZIP
Type ConsTj Occupancy
Sprinklered
❑Yes ❑No El Req'd.
DESIGNER
PHONE
Val ion
Building Area in Sq. Ft.
5'
ADDRESS
ZIP
Main Floor
Upper Floors
Garage Area
Storage
I
CHANGE OF USE FROM
TO
Area of Decks
Finished Basement
Unfin. Basement
6.
TYPE ,,/
No. Baths
��
No. Stories
J
No. Rooms
No. of Dwellings
{
7.
LJ NEW
OF
0 BLD.
❑ ALT.
❑ PLMB.
❑ AD'N. ❑ RPL.
❑ MECH. ElM.H.
❑ MVE.
❑ OTHER
El POOL
%
CERTIFICATE
Req'd.
Recd.
Not Req'd.
WORK
of EXEMPTION
DESCRIBE WORK Enum. Dist. 1 Location (Area)
FEES COLLECTED
8. 2k 7"qc: NEO i..r -C A45
�VALUATION SOURCE GAS ELECTRIC WATER SEWER Ownership USE CODE
S '%/� UTILOITIES p�IG Public ❑Private Single $
1 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 0 -se.. "G
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 Plumbing
Mech.
I 0
F. Li l 0,
SPECIAL APPROVALS
SPECIAL CONDITIONS:
NAME DATE
� r ^�
N--l7L7F1 ;?Cl- SE' / v,7 /RF4Wl12FL;,
ScPrlc Sys�'E�1 oR�G!/Yr7tc.y 1/t>sT/�t�� civ
Plan Check
SEPA
Env. Health
GOT // fp
�
� .'
Planning
Mobile Home
W
Fire Marshall
r
/
Other (Specify)
Qg Lry
TOTAL $�
Co. Engineer
Utilities
Plans Examiner
T,I T !%;�
8v
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
SEPA Checklist
IS NONTRANSFERABLE
;1 0, ,3'��, 3'd;'�'D A5��0 0.¢ H
a`
Build TechnicianPERMIT
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
DATE ISSUED PERMIT NO. TOTAL
i