1980, 10-02 Permit: 80B-1283 Garage, Renewal of 78-839"NUMBER APPLICATION/PERMIT
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
JOB ADDRESS
1
3. �--'_A
ADDR
4.
AD RESS
7
DESIGNER
5. ADDRESS
APPLICANT:
COMPLETE NUMBERED SPACES - PRESS
HARD TO MAKE 3 COPIES
Area of Decks
LEGAL DESCRIPTION - SEE ATTACHED
mo
a
SUBDIVISION
170
PARCEL NUMBER/S
I
PHONE
No. Baths
ZIP
Actual Set Backs in Feetx
7AZ
❑ ALT.
f
North South
East West
/
PHONE
Size of Parcel Zone Classification
X OTHER
7
Req'd.
Recd.
ZIP
Type Const.
Occupancy
Sprinklered
4
of EXEMPTION
I
❑Yes ❑No ❑ Req'd.
❑ESC RIBE WOP:j4y,2
PHONE
Valuation
Building Area in.5iq. Ft.
Location (Area)
FEES COLLECTED
L5 F
ZIP
Main Floor
Upper Floors
Garage Area
Storage
I
CHANGE OF USE FROM
Area of Decks
Finished Basement
Unfin. Basement
6.
170
I
No. Baths
No. Stories
No. Rooms
No. of Dwelling
TYPE ❑ NEW
❑ ALT.
❑ AD'N.
❑ RPL. ❑ MVE.
---
/
7, OF
X OTHER
CERTIFICATE
Req'd.
Recd.
Not Req'd
❑ B1„D. ❑ PLMB. ❑ MECH.M.H. El Poo
WORK
4
of EXEMPTION
I
X
❑ESC RIBE WOP:j4y,2
_
7 "�
Enum. Dist.
Location (Area)
FEES COLLECTED
ALUATION [STOJUR96EI GAS EL CTRICWA ER SEWS OwnershipUSE CODE
9. ULOITIES Public ❑ Private
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
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 INSPECTIONS Plumbing
DATE OF APPLICATION 042 '—Z — S'4) SIGNATURE OF APPLICANT , Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE Plan Check
Env. Health
SEPA
Planning
Fire Marshall Mobile Home
Other (Specify)
fly
TOTAL $ %1
WHEN MACHINE VALIDATE
THIS BECOMES A PERMIT.
neer
Utilities
Plans Examiner
PERMIT 1` MBER
2* *10.00
. r 1
* 1 0.00
A * (l
1 G c? 2
10-02-40
Zc b. 4 7 9,
E,
ng Tech icianq PERMIT IS NONTRANSFERABLE p —
1 r. PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATEi.ISST3' b2. —� �1 PERMIT IVC . Q. � `d * � "VIAE i