1980, 03-05 Permit: 80-1803 GaragePLAN NUMBER
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 ADDRESS
/.6-3/ 7 0,4, y�--
LOT BLOCK SUBD V ON
2. /( 'd3RatL,i'.IatCt.l .t .r i -x)
PHONE
9 —S'776
O NERg�77��--��������
3. •CL6L 4
. r.. DRESS
F is3/7 e.��/JD- '1b
CONTRACTOR -- - —
LEGAL DESCRIPTION- _SEE ATTACHED _.
5.
^R ESS
41/7441----
DESIGNER
NVVf---
DESIGNER
ZIP
9, C37
PHONE-
ZIP
PHONE
PARCEL NUMBER'S /445--W-
al(
445-- -
al( -
V FRA.D41_ p4RK Am)
Required QSet Backs in Feet
o
iJ7 ISauthjK/ East /3/ (West
North
PERMIT NUMBER
69:7- /'0a
DATE
Size of Parcel- 7------- -- -Zone-Classification--- -- --
grk,D¢ APP 4 vurt▪ pi,.�i. .let.
Type Const.
Occupancy f Sprinklered
❑yes ❑No 0 Req'd.
V uation �Q
fo760 -
Building Area in, Sq. Ft.
ADDRESS
ZIP
D
CHANGE OF USE FROM
6.
TO
TYPE
7. OF
WORK
NEW 0 ALT. 0 AD N. 0 RPL.
ISI BLD: 0 PLMB. - ❑ MECH: ❑ M.H. -
❑ MVE.
❑ POOL
❑OTHER
N
WL Area Basement Area Garage Area
7Jo/ -
Split Entry 'SPIi Level Rancher
4 e"
No. Baths No. Floors
Storage
No. Rooms
Rec. Room
-CERTIFICATE-
of EXEMPTION
— Req'd.
-
ooJJDESCRIBE WORK •
8. 4�/ f, r atg
V 2- AQ9.�,I.Lt1�sf t.L.
ALUATI N t Source GAS
/4L3aD
of
Utilities
ELECTRIC
WATER
SEWER
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.
DATE 3- JIRD SIGNATURE
DEPT.
;SPECIAL -APPROVALS - - --
REQ'D. RECD.
Env. Health
0./t. 2.L/!.L eq.". 3 -,jt gz)
Planning
Fire Marshall
Co. Engineer
Utilities .
Zone Clearance •
SEPA Checklist's
HOME OWNER'S WARRANTY
yEe
I -j
SPECIAL CONDITIONS:
PLANS Affio Vt)
DATE 3-5- OFFICIALS
APPROVED FOR ISSUANCE
Not Req'd.
X
-- -FEES COLLECTED - - -
Single $
,462--
Building
Plumbing
Mech.
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL $hZ
02* *6200
*6200. t1
*6200i5
E - *Q00 8
18022
03-05'-80
2 6479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS IrMA;P,MIT. 1 o n 3 z
6 2.0 0,2
C
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LL
6
2
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3 e.,DOo0.
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3
RAF-rEM- /Lie -MADE.
Sewrtd'j 9"' nt a r' NrJ
STuDirvy 2X9 AR Spur rdre"oc53 ea
7'
House
x
c
NE l✓
&a f Ase
xs
72'
'—/3
roma' of Lot tscrrag S
lee
i
U
42
pak�t Ain IL# nF N,:(,. 5A--.141 1;0.15 /v.Q.
•