1980, 07-09 Permit 80-6834 Add to GaragePLAN NUMBER
APPLICATION/PERMIT
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
PERMIT NUMBER
80 ,-CIPY
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
JOQ FjDDIF17��� lid
/\ I/
LOT
BLOCK SUBDIVISION
3.
4.
6.
OWNER
1/P\M0 1, b �AV LAKI i2
ADDRES
. r71 7
CON` T13A 4C
ADDRESS
DESIGNER
PHONE
, 7G".
O Kr,
ZIP
PHONE
LEGAL DESCRIPTION — SEE ATTACHED
BER/S I �� - ob
�� 21/� aF -2l toaK I
•
Actual Set Backs In Feet
North aO )South
Size of Parcel
lox I
Type Const. 1 Occupancy
East (West
Zone
lassiflcati
Sprinklered
Dyes ❑No ❑ Req'd.
Valuation Building Area in Sq. Ft.
ADDRESS
CHANGE OF USE FROM
TYPE
7. OF
WORK
ZIP
TO
❑ f�kE`W ❑ ALT. EAD'N. ❑ RPL. ❑ MVE.
BLD. ❑ PLMB. ❑ MECH. ❑ M.H. ❑ POOL
❑ OTHER
Main Floor Upper Floors
Area of Decks
No. Baths
Garage Area
Storage
Finished Basement Unfin. Basement
No. Stories
No. Rooms
No. of Dwellings
CERTIFICATE
of EXEMPTION
Req'd. Rec'd.
DESCRIBE WORK
8 I2 I Y �`I901'f0(1'3 x fig)
VALUATION SOURCE GAS ELECTRIC WATER SEWER Ownership
9. UTILITIES ✓ . l l G Public 0 Private !J
OF
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
Enum. Dist. I Location (Area)
/ USE CODE
DATE OF APPLICATION
f(J SIGNATURE OF APPLICANT
WriLA-Zre,
SPECIAL APPROVA .S
NAME DATE
Env. g9Health
/l4 rI/ A/So
Planning
Fire Marshall
Co. Engineer
Utilities
Plans Examiner
SEPA Chfyeklist
SPECI L CONDITIONS:
N7po— rivcJ eqKw
Not,A eq'd.
FEES COLLECTED
Single $
Building
Plumbing -
Mech.
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL
$
Af__
02* *44,00
*4I44,00 N
*44.008
*0,00
682.6e
U7_09`-80
2 6479,
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
-(ildin9 ' inician
PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
'0 '9: 81'0. 6 8'3, 4° * 4 4 0 02 rj-
DATE ISSUED PERMIT NO. TOTAL