1980, 01-08 Permit: 80A-9933 GaragePLAN NUMBER
APPLICATION/PERMIT
SPOKANE COUNTY—_BUILDING .CODES .DEPARTMENT_
NORTH 611 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE -4 COPIES —
1.
2.
3.
JOB
f1ADDRESS
LOT o K
1 EPGERToN RoAD
LEGAL DESCRIPTION= SEE AT-TACHED__
SUBDIVISION
c,12cHk - ki A001-1100
OWNER
• RoB/N - rARPER --
ADDRESS
N- 3307
PHONE 0/1.31
928—
PARCEL NUMBER/S OGoI
NO, .I001 -or -so: -.4 -001 -op -rte.'
EDGER -TON ROMA
ZIP
9%2 06
Required Set Backs in Feet
North 'South
4.
CONTRACTOR
PHONE
Siz
East /69
'West 15
e or Parcel —'-- — Z ne Cla ssdiica I
ion-' r"' --r�—
k -I 100 NG-
Size
G /�iJLJI /JLf►�.
ADDRESS
ZIP -
Type Const. _.
—Occupancy__ Spnklered_ __—
Oyes UNo 0 Req'd.
5.
DESIGNER
PHONE
Valuation
--179720 xx-
Building Area in Sq. Ft.
-
ADDRESS
ZIP
DWL Area Basement Area
Garage Area
- /08o -
Storage
CHANGE OF USE FROM
6.
TO
Split Entry
Split Level
Rancher
7.
TYPE
OF
WORK
LiNEW
BLD.
❑ ALT.
❑ PLMB.
O AD N.
O MECH:
❑ RPL. 0 MVE.
0 OTHER
❑ POOL
No. Baths
No. Floors
No. Rooms
Rec. Room
- CERTIFICATE" - -
of EXEMPTION
- Req'd.
Rec'd.-
Not Req'd.
DESCRIBE WORK -, _ _ _
B. 6ARA�E — D E-T-Ac4EO (30-5( 3! '
VALUATION Source GAS ELECTRIC WATER ,SEWER
9. Utilities r LX)ST7NG
I hereby certify that -I have read and examined this application and_have read the I'NOTICE° provisions included
on reverse side, and know the same to be true and correct. All provisions o, law and ordinances governing this
of a permit does not presume
struction or the
type of work will be complied with whether specified herein or not. The
to give authority to violate orcancelthe provisions -of -any -other state or
performance of construction.
DATE U Pei-‘ 70 SIGNATURE
DEPT.
SPECIAL APPROVALS — ---
REQ'D. REC'D.
Env. Health
Planning
Fire Marshall
Co. Engineer
Utilities
Zone Clearance
SEPA Checklist
SPECIAL CONDITIONS: - .- -
rizo✓w P -AN wrtilc ro
(nevi kier_raer1/49.)
PMN -5 o < {//q� �
DATE /'.6D
O 0FFICIAL 7110- .W4/GW V
APPROVED FOR ISSUANCE
- FEES COLLECTED --
Single $
Building 7+.00 -
Plumbing
Mech. -
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL $
PERMIT NUMBER
60i --D
DATE
02*
*7400
—*7400
__*7_4._000
E *QQO 8
-- --99328 - -
01-08-80
6.479.
I' ED
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS a COM A PERMIT.
011:!,"-C'0' 99334
*7400.°
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