1980, 11-03 Permit 80B-3116 Garagehpveo
APPLICATION/PERMIT
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
2.
3
4.
JOB ADDRESS
L T BLSCK SUBDIVISION
OWNER
ADDRESS •
CONTRACTOR
ADDRESS /
LEGAL DESCRIPTION — SEE ATTACHED
PHONE
tF?"-05-
ZIP
9rj�? %lw
PHONE
ZIP
PARCEL NUMBER/S
/.ors
14A,CVd12.c ,4CRe 50 8
Actual Set Backs in Feet
North A/7 / South / 1East Z3
Size of Parcel
X/_f
Type Const.
Occupancy
(West /474
Zone Classification
Sprinklered
❑Yes ❑No ❑ Req'd.
5.
DESIGNER
PHONE
ADDRESS
ZIP
Valuation
Upper Floors
Main Floor
Building Area in Sq. Ft.
7:2-
Garage Are?
Storage
CHANGE OF USE FROM
6.
TO
Area of Decks
Finished Basement
Unfin. Basement
TYPE
7. OF
WORK
ki NEW 0 ALT. 0 AD'N.
BLD. 0 PLMB. 0 MECH.
❑ RPL. 0 MVE.
0 OTHER
❑ M.H. 0 POOL
No. Baths
No. Stories
CERTIFICATE
of EXEMPTION
No. Rooms
l
Req'd.
No. of Dwellings
Rec'd.
Nott Req'd.
DESCRIBE WORK
8. 0.1u4)u : s .(9.v. ,l.e e ai
,JAG VALUATION SOURCE GAS
9. �'L.Z,� �UTILITIES�
ELECTRIC
WATER
SEWER
Enum. Dist.
Ownership
Public 0 Private
Location (Area)
USE CODE
hereby certify t'-'at 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 construction or the
performance of construction. SEE REVERSE SIDE FOR REQUIRED INSPECTIONS ..,
DATE OF APPLICATION / 2 " 2.3 g
SIGNATURE OF APPLICANT f` UIJ�'v 61.. 6-ice
SPECIAL APPROVALS
NAME DATE
Env. th
4M /O/ \3
Planning
Fire Marshall
Co. Engineer
Utilities
Plans Examiner
SEPA Checklist
SPECIAL CONDITIONS:
FEES COLLECTED
Single
Building
Plumbing
i-Mech.
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL--'
PERMIT NUMBER
sd/3 = /i&
02* *44,00
* 44.00 N
* 44.006
•A *0.00 8
31 1.5R
111-03'h80
6479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
rdiniTercizzi,,, (}�
+1 PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
1' 11. O 118 101
DATE ISSUED
3.1'16 *'4;4:0 Ole -
PERMIT NO. TOTAL
0.):2 77,/ /AS
lets ci //Aril/sit,
•
PRthrasely
Ert