1980, 01-30 Permit: 80-715 GaragePLAN NUMBER
JOB ADDRESS
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DESIGNER
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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
LEGAL DESCRIPTION — SEE ATTACHED
S,IJBDIVI'ON 1I PARCEL NUMBER/S
PHONE 'x 07' 4,6 -
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,6 -t : —1 —/-,
ZIP Required Set Backs in Feet
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!J /6-1 North J South 5� O East O West 1�
PHONE Size of Parcel Zone Clpssification
IZIP Type Const. Occupancy Sprinklered
❑Yes ❑No ❑ Re 'd
CHANGE OF USE FROM —�TO
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PHONE V luation�Q Building Area in Sq. Ft.
g®' 6lod f
ZIP D L Area Basement Area I Garage Area Storage
4
Split Entry plitkev I Rancher
No. Baths No. Floors No. Rooms Rec. Room
7
TYPE 94 NEW ❑ ALT. 1:1AD'N. ElRPL. El❑OTHER MVE. —
WORK <' BLD. 1:1PLMB. ElMECH: ElM.H. ElPOOL CERTIFICATE Req'tl. Recd. INot Re('
of EXEMPTION
DESCRIBE WORK{\
8. a l6
ALUATION Source G S ELECTRIC WATER SEWER
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9. Q Utilities
1 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 --Z SIGNATURE
SPECIAL APPROVALS SPECIAL C ITIO .
DEPT. REQ'D. RECD.
Env. Health
Planning
Fire Marshall
Co. Engineer
Utilities
Zone Clearance
SEPA Checklist
DATE OFFICIAI dlai za4i u[ -'
Annnrnirn rnn iooiiAninr
FEES COLLECTED
Single
$
Building
D
Plumbing
Mech.
Plan Check
PERMIT NUMBER
DATE
SEPA
M
C
Mobile Home C
Other (Specify)
TOTAL $
WHEN MACHINE VALIDATED IN THIS SPACE.
THIS BECOMES A, PERMIT.
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