1980, 01-23 Permit: 80-510 Garage•
IpLAN NU BER
APPLICATION/PERMIT
SPOKANE COUNTY - BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 4 COPIES
JOB AgDRESS
LOT
2.
3.
4.
t-
BLOCKOISUBDIVI_IOV
W P I 12,14 T f c9 Ft2_
OWNER
ADDF ESS
10
S V/ V� I Ct7
COA-CTr
ADDRESS
LEGAL DESCRIPTION - SEE ATTACHED
ZIP
PARCEL NUMBER/S l.,0GjrJ 55-3- —6,
I
Required Set' Backs
North 'South - [East
PHONE
Size of Parcel
I 7-
'West 9+
Zone Classification
ZI P
Type Const.
V -P4
Occupancy
PA -1
Spr1nkiered
❑Yes ❑No 0 Req'd.
DESIGNER
J. ADDRESS
PHONE
ZI P
Valuation
Cv,pO
Building Fjrea In Sq. Ft.
DWL Area Basement Area Garage Area
76,P
Storage
CHANGE OF USE FROM
6.
TO
Split Entry
Split Level
Rancher
TYPE
7. OF
WORK
O ALT. 0 AD'N.
O PLMB. ❑ MECH.
❑ RPL.
O M.H.
❑ MVE.
O POOL
0 OTHER
No. Baths
No. Floors
No. Rooms
1
Rec. Room
CERTIFICATE
of EXEMPTION
Req'd.
Recd.
Not Req'd.
DESCRIBE WORK
8. b'A•1-I PctW,i 2-4��
VALUAT ON Source GAS ELEC RIC
9.6IDO ° of
util ties
WATER
SEWER
Elus-r1AQ
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 loca law regulating construction or the
performanceof construction.nsst
, - //
DATE1�O SIGNATU
DEPT.
Env. Health
Planning
SPECIAL APPROVALS
REQ'D_ REC''`D.. ga
f//Ol
Fire Marshall
Co. Engineer
Utilities
Zone Clearance
SEPA Checklist
SPECIAL CpNDITIONS:
I A14Ka
.-00 c' VJ
1
P4'sN..S ieePRoQ
DATE 1'2Z4
O OFFICIAL -
APPROVED FOR ISSUANCE
FEES COLLECTED
Single S
Building
Plumbing
Mech.
Plan Check
SEPA
Mobile Home
Other )Specify)
� ,ov
TOTAL
•
PERMIT NUMBER
DATE
02* *74.00
*74.00 1;5
*74.006
E *0.00 8
34.7
01-18-80
2 61474.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
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