1981, 01-13 Permit 80-8631 Enclose CarportPLAN NUMBER
APPLICATION/PERMIT
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
PERMIT NUMBER
86-8631
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES -- PRESS HARD TO MAKE 3 COPIES
JOB ADDRESS
LOT
. /732o 6/goP i y
BLOCK SUBDIVISION
OWNER
3 TO j/n7O,v0 . /c�Cot7
4. ADDRESS
ADDRESS
E.177 & z 264DW/9-
CONTRACTOR
DESIGNER
5. ADDRESS
CHANGE OF USE FROM
6.
TO
PHONE
g(/_69/c/
ZIP
PHONE
ZIP
PHONE
ZIP
LEGAL DESCRIPTION - SEE ATTACHED
PARCEL NUMBER/Stiv! W /70' OF Nzcz.),
F Cv 7 y az- ; / , CoR8,,✓, cam..To
E/✓AG.��S
OZ3�
Actual Set Backs In Feet
North
Size of Parcel
c7o,z
'South East 'West`'
Zone Classification
4
Type Const. Occupancy
Value on
4,600
Main Floor Upper Floors
Sprinklered
DYes DNo ❑ Req'd.
Building Area In Sq. Ft.
5ZF3
Garage Area
.5
Storage
TYPE
7. OF
WORK
❑ NEW
❑ BLD.
DESCRIBE WORK
8 Eivc
ALUATION
9. / •CO
❑ ALT.
❑ PLMB.
❑ AD'N.
❑ MECH.
❑ RPL.
❑ M.H.
C'4e .S4DE
SOURCE GAS
OF
UTILITIES
ELECTRIC
❑ MVE.
❑ POOL
❑ OTHER
Area of Decks
No. Baths
Finished Basement Unfin. Basement
No. Stories
CERTIFICATE
of EXEMPTION
Enum. Dist. Location (Area)
No. Rooms INo. of Dwellings
r
WATER
SEWER
5EP
Ownership
Public ❑ Private
Req'd.
USE CODE
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 INSPECTIONSAo-d/e1/
DATE OF APPLICATION
SPECIAL APPROVALS
NAME DATE
Env. Health
Planning
Fire Marshall
Co. Engineer
Utilities
Plans Examiner
SEPA Checklist
SIGNATURE OF APPLICANT
SPECIAL CONDITIONS:
�EALT-H GUar 260 .o
Pe/fit) S
Va 7 h�154 'A
Rec'd.
Not Req'd.
FEES COLLECTED
Single $
Building
Plumbing
Mech.
Plan Check
SEPA
Mobile Home
Other (Specify)
/750
TOTAL $
02* *17.50
* 17.50 i
* 1,7.506
E *0.00
863.02
08-15-80
z 6479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
Buildin Technician
PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
'0(.8 r, ),,' 5°- 810
DATE ISSUED
PERMIT NO.
863.1z *17,50,1
TOTAL