1980, 04-14 Permit: 80-3464 Storage BldgPLAN NUMBER
APPLICATION/PERMIT
SPOKANE COUNTY BLAMING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
JOB ADDRESS
�.
/37.2„..s
LOT
2. /d
OWNE
3
3 /-sr A V.5
LEGAL DESCRIPTION — SEE ATTACHED
BLOCK
/d
SUBDIVISION
MoVMTA,tu \/l E w / 17H ADD.
RESS
e, /,1 7.23
CO TRACTOR
4' ADDRESS
p
DESIGNER
5. ADDRESS
c3 / _QAC.• 14
PHONE
ZIP
PARCEL NUMBER/S 27,1'444-/4/,0
4.07 -JP Q L -K /0'
N/OUAI TAlM VIEW
Actual Set packs in Feet /
North t'T' ISouth.'s
4L7'- A Db
East .2.c / IWest 3/
PHONE
ZIP
PHONE
ZIP
Size of Parcel /
X /461
Type Const.
Valuation
/AOD
Main Floor
420./
Zone CI$ssification
OCCU paTicy
Upper Floors
Sprinklered
❑Yes ❑No 0 Req'd.
Building Area/in Sq. Ft.
.DO
Garage Area
Storage,
CHANGE OF USE FROM
6.
TO
Area of Decks
Finished Basement
Unfin. Basement
TYPE
7. OF
WORK
64 NEW
® BLD.
O ALT. ❑ AD'N. ❑ RPL.
❑ PLMB. 0 MECH. 0 M.H.
❑ MVE.
❑ POOL.
❑ OTHER
No. Baths
No. Stories
No. Rooms
No. of Dwellings
CERTIFICATE
of EXEMPTION
Req'd.
Rec'd.
Not Req'd.
8.
9.
oSCRIBE WORK
VALUATI� N
SOURCE
OF
UTILITIES
R
GAS
Enum. Dist.
ILocation (Area)
ELECTRIC
WATER
SEWER
Ownership
Public ❑ Private
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 constructign or the
performance of construction. SEE REVERSE SIDE FOR REQUIRED INSPECTIONS
DATE OF APPLICATION '—/.4/ —p D SIGNATURE OF APPLICANT
SPECIAL APPROVALS
NAME DATE
n .Hea
6
Planni
Fire Marshall
Co. Engineer
Utilities
Plans Examiner
SEPA Checklist
Building Te hnici
SPECIAL CONDITIONS:
PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
FEES COLLECTED
Single $
129_
Building
Plumbing
Mech.
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL $ Z9
PERMIT NUMBER
caO -- 3,(o
02* *29.50
* 29.50
* 29.506
E *000
346,38
04-14-80
g 6479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
DATE 16ED8
PER914l3,Q
*295 01BTEL
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