1980, 04-09 Permit 80-3296 GaragePLAN NUMBER '
APPLICATION/PERMIT
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
(PERMIT NUMBER
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
APPLICANT:
COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
1.
2.
JOB ADDRESS
S . o 3
LOT
BLOCK
SUBDIVISION
OWNER
3. L . R.oy WOOFS
ADDRESS
6; 0 _3 F -TS
CONTRACTOR
4.
RESS
� Qr
DESIGNER
5' ADDRESS
CHANGE OF USE FROM
6.
TO
PHONE
1.26:-6n43
ZIP
PHONE
ZIP
PHONE
ZIP
LEGAL DESCRIPTION — SEE ATTACHED
PARCEL NUMBER/S pj)5 / •—I3zS• N• /00I O
.. titer`' or w 165' op S -fl'-lst-T z 3z
oPPuy2-Ti't,/N r-ry
Actual Set Backs in Feet
North 6 (South 74' °
Size of Parcel
/C)D X 146
Type Const;
Valuation
Main Floor
77 Z
Occupancy
Upper Floors
Area of Decks
East .stQ / (West �47
Zone Giassification
r7" Sprinkiered
❑Yes ❑No ❑ Req'd.
Building Area In Sq. Ft.
�S 7
Garage Area
Finished Basement
Storage
Unfln. Basement
TYPE
7. OF
WORK
NI NEW
BLD.
❑ ALT.
❑ PLMB.
❑ AD N.
❑ MECH.
❑ RPL.
❑ M.H.
❑ MVE.
❑ POOL
❑ OTHER
No. Baths
CERTIFICATE
of EXEMPTION
No. Stories
l
No. Rooms
Req'd.
No. of Dwellings
Rec'd.
Not Req'd.
8.
9.
D SCRIBE WORK
VALUATION
SOURCE
OF
UTILITIES
Enum, Dist.
Location (Area)
GAS ELECTRIC
WATER
SEWER
Ownership
Public 0 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 construction or the
performance of construction. SEE REVERSE SIDE FOR REQUIRED INSPECTIONS
DATE OF APPLICATION 4 - 7- SU
SIGNATURE OF APPLICANT
SPECIAL APPROVALS
NAME DATE
Env.
Planning
Fire Marshall
Co. Engineer
Utilities
Plans Examiner
SEPA Checklist
SPECIAL CONDITIONS:
FEES COLLECTED
Single
Building
Plumbing
Mech.
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL
02* *5.0.00
'*50.00
*50006
E * 0.0 0
329.52
04=094-80
6479,
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
ring Tec Hitter
PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
'041!;;0''9',' V''0 3!29;6 *50..00,a1 -
DATE ISSUED
PERMIT NO. TOTAL
PRO
CzARA4.�