1980, 08-29 Permit 80-9375 Residence, Garagei e /eq/c90
PLAN NU"%�ER(i.5.- -
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
1.
2.
3
4.
JOB ADDRESS
/05Zz
LOT
OWNER
cr//e-V
ADDRESS
G. /0/04
BLOCK
3
CONTRACTOR
S,7!'YZE
ADDRESS
J✓�/y1C`�
DESIr:NER
5.
ADDRESS
6.
SUBDIVISION
s7
4,-.0D/ 1/6/1/
o 711
FE24e Cr a2,
CHANGE OF USE FROM
TO
PHONE
9z8 -z99B
21 P
99zo.
PHONE
ZIP
PHONE
ZIP
LEGAL DESCRIPTION - SEE ATTACHED
PARCEL NUMBER/S
054(// /7047/
Actual Set Backs in Feet `513 r 17/4/
North /36' 'South / Z U East 41 'West
Zone Classification
/f/C7//6.067u2ac
Size of Parcel
r300 ,Y /4/6
N
vaiumion Building Area in Sq. Ft.
c,'7c7o /7/5
Main Floor
/Z3/
OORpancy
Sprinklered
❑Yes ❑No ❑ Req'd.
Upper Floors Garage Area
• 20 418 c/
Area of Decks
Finished Basement
Storage
Unfin. Basement
364
TYPE
7. OF
WORK
�Ull NEW ❑ ALT-
KI(BLD. ❑ PLMB.
❑ AD'N.
❑ MECH.
❑ RPL.
❑ M.H.
❑ MVE.
O POOL
❑ OTHER
No. Baths
No. Stories
z
No. Rooms
No. of Dwellings
CERTIFICATE
of EXEMPTION
DESCRIBE WORK Enum. Dist. I Location (Area)
8. v,xvCLe Fi4/,il/(:Ls ./ /f7E-2Ce- G/A2F14 5 ,7T4 (//VO I
ALUATION SEWER 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. SfE REVE SESIDEFOR REQUIRED INSPEC O n /
SOURCE
OF
UTILITIES
DATE OF APPLICATION
GAS
ELECTRIC
WATER
•5E- PT/ c•
SIGNATURE OF APPLICANT
Ownership
Public E Private V
W
Req'd.
SPECIAL APPROVALS
NAME DATE
Env. -al
Fire Marshall
Co. Engineer
Utilities
ns ine �� r/i/Y
S P Chec list '
SPECIAL CONDITIONS:
L,leEw -5G
Rec'd.
Not Req'd.
FEES COLLECTED
Single
Building
Plumbing
Mech.
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL
$31%(r..<-)
..........
A -�
aD-4737j
2* *3.1.600
*31600
*316006
E *C00
937.4�
08-29-80
6479
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
BuAdig, Technician
PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
0 8 '- 2' 9`'� 8' 0
DATE ISSUED PERMIT NO. TOTAL
93�7.5z *316.0021--'
INS'
Fev✓e t C r•
109:2.z f erre t iUr
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