1980, 02-26 Permit: 80-1503 Garage Addition� - All
PLAN NUMBER
JOB ADDRESS
1. S. 290
OWNER
3. ANN E
ADDRESS
S, Z S'b 1c,
CONTRACTOR
4' ADDRESS
DESIGNER
5. ADDRESS
APPLICATION/ PERMIT
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
AFFLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 4 COPIES
I�AVIS P.OP. FER/S
DESCRIPTION — SEE ATTACHED
SUBDIVISION BER/S!'� SLL_ i 1 _o���
s 32. � BLck. I ; PoR-noN Of Lo -r 3
PH NE ,�t�Y61NC-i SLY OF r-O"JOWtN<i Pil cal4-147-STTINTot4 iZ-AS—i LINE or- t —r I
Ds� jp` p �qC ZCIIPP jcks in Feet
AV IS RZIl �� 57�� /.zi/il Ic.. — /_ ' Imo__. I... ♦ /
CHANGE OF USE FROM
6.
TYPE Q NEW
7, OF
WORK
DESCRIBE WORK
❑ ALT. 14<D'N. ❑ RPL.
❑ PLMB. ❑ MECH: ❑ M.H.
PHONE
ZIP
PHONE
ZIP
❑ MVE.
❑ POOL
Size of Parcel
Zone Classification
i
1
Type Const.
Occupancy
V"N
M-
�Spr_r"inklered
❑Yes )<No ❑ Req'd.
Valuation
""
Building Area in Sq. Ft.
7 zo
DWL Area
Basement Area
Garage Area
Storage
—72.0
i1
Split Entry
Split Level
Rancher
No. Baths
No. Floors
No. Rooms
Rec. Room
❑ OTHER . ►
CERTIFICATE
of EXEMPTION
8.
VALUATION Source GAS EL TRIC WATER SEWER
9 „g 4JYo U0 of
6 7 {J i'� Utilities �X s
I hereby certify that l 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 — —_O d SIGNATURE`
SPECIAL APPROVALS SPECIAL CONDITIONS:
DEPT. REQ'D. RECD. 11'
Env. Health / � �A I � � � � )E���
Planning
Fire Marsh IIS �� • -
Co. Engineer
Utilities
Zone Clearance
SEPA Checklist II----tt
YES L �1
DATE;/;r%:*� OFFICI
q'd. Rec'd. Not Req'd.
y�
FEES COLLECTED
Single $/
Building W
Plumbing
Mech.
Plan Check
SEPA
Mobile Home
PERMIT NUMBER
0,0.-i�d�
DATE
/,
Other (Specify)
, �6d
TOTAL $
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A IllIT.
a 15a3z
*620000y