1980, 03-24 Permit: 80-2628 GaragePLAN NUMBER APPLICATION/PERMIT PERMIT NUMBER
�. 4-
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675 DATE
JOB ADDRESS
1
OWNER
3. JAMES
ADDRESS
N, 131&
CONTRACTOR
4• ADDRESS
DESIGNER
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 4 COPIES
ZIPD
LEGAL DESCRIPTION — SEE ATTACHED
B IVISION
PARCEL NUMBER/S
D
/-,47' / Q/./CZ LAIC, 1,5-"I/AC, STP. A -Y&,
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PHONE
E OF 1- APJ. TO
WILCOXQ-
2 0
A s SO13. QFA09r&NZ4f
TO
ZIP
Required Set Backs in Feet
Rancher
-/
North South
East � West
Mobile Home
PHONE
Size of Parcel
Zone Classification
No. Rooms Rec. Room
TYPE ❑ NEW ❑ ALT. ❑ AD'N. ❑ RPL. ElMVE.
..�
7, OF 11 OTHER
ZIP
Type Const.
Occupancy
Sprinklered
El BLD. 1:1PLMB. [3MECH: ElM.H. 1:1 POOL
WORK
of EXEMPTION
I
❑Yes ❑No ❑ Req'd.
is
PHONE
V uation
Building Area in�q. Ft.
61 Al 80
zv
5' ADDRESS
ZIPD
L Area
Basement Area
Garage Area
Storage
REQ'D. RECD.
No comfA AL. L4S1r AVjW )A'
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Plan Check
o
-IJ
CHANGE OF USE FROM
TO
Split En y
Split Le I
Rancher
6.
t04,4N5 eF7URA/--0
Mobile Home
v
z
Fire Marshall
No. Baths No. Floors
No. Rooms Rec. Room
TYPE ❑ NEW ❑ ALT. ❑ AD'N. ❑ RPL. ElMVE.
..�
7, OF 11 OTHER
CERTIFICATE
Req'd.
Recd.
Not Rei
El BLD. 1:1PLMB. [3MECH: ElM.H. 1:1 POOL
WORK
of EXEMPTION
is
DESCRIBE WORK
FEES COLLECTED
8.
ALUATION U Source GAS ELECTRIC WATER SEWER
Q D of
9.// Utilities
Single $
I hereby certify that I have read and examined this application and have read the "NOTICE" provisions included p0
on reverse side, and know the same to be true and correct. All provisions of laws and ordinances governing this Building
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 regulatin constr tion the
performance of construction. �[ Plumbing
DATE 3 —Z1 —FIO SIGNATURE I\ Mech.
C
7
SPECIAL APPROVALS
SPECIAL CONDIT
DEPT.
REQ'D. RECD.
No comfA AL. L4S1r AVjW )A'
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Plan Check
o
Env. Health
/l
J►/C� /
SEPA
C
_ C.
4
Planning
t04,4N5 eF7URA/--0
Mobile Home
v
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Fire Marshall
Other (Specify)
Co. Engineer
/ OQ
Utilities
TOTA L $ C�
Zone Clearance
WHEN MACHINE VALIDATED IN THIS SPACE,
194ANS ffl'90V9
THIS BECOMES A
SEPA Checklist
_.
JPERMIT. p
O J 4'� U L l_ 6 L, 0
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DATE 37-1:44 0 F F I C I A
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3 � T
6o'
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MolvERrY
L,I,v fold
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Cr
300 /