1980, 03-05 Permit: 80-1796 GaragePLAN NUMBER
APPLICATION/ PERMIT
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
PERMIT N MtiER _ '
DATE
DESCRIBE WORK
8. x
�O � 3nnot
FEES COLLECTED
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 4 COPIES
JO� ADDR SS
5 �O^�
LEGAL DESCRIPTION —SEE ATTACHED
1
I hereby certify that I have read and examined this application and have read the "NOTns included
IL
Building
type of work will be complied with whether specified herein or not. The granting of a ot presumeto
LOT
BLOCK'ISUBUIV15ION�
n
II���L
N
PARCEL NUMBER/S
—
2
DATE
SPECIAL APPROVALS SPECIAL CONDITIONS -
DEPT. REQ'D. RECD.���
Plan Check
'�411`�ILv LJ NJ
OWNER
I� I
Planning
HONE
3.
Fire Marshall
Co. Engineer
Other (Specify)
Utilities
r
✓
5a
ADD SS')0><
TOTAL $
Zone Clearance
Z
Required Set Backs in Feet O
WHEN MACHINE VALIDATED IN
SEPA Checklist
THIS BECOMES A PERMIT.
„ '—
DAT 2�0OFFI CIAL
-. nnnnnvrn rnn 1{`Olinninr
7
North South East West
CONTRACT
R
PHONE
Size of Parcel
0e,
Zone Classificatio
Ib �-omr;
Fv ><
boel - ,
4'
ADDRESS
ZIP
TyConst.
pe
Occupancy
Sprinklered
Dyes ❑No ❑ Req'd.
DESIGNER
PHONE
Valuation
d d
Buildin
�-&
Arrea in Sq. Ft.
O
5'
ADDRESS
ZIP
DWL Area
Basement Area
Ga age Area
Storage
D
CHANGE OF USE FROM
TO
Split Entry
Split Level
Rancher
6.
No. Baths
No. Floors
No. Rooms
Rec. Room
���/'A
TYPE LyJ M1EW
❑ALT. ❑ AD'N. 1:1 RPL.
El MVE.
I
%
OF
0BLD. ElPLMB. ❑ MECH: ElM.H.
ElPOOL ❑OTHER
CERTIFICATE
Req'd.
Rec'd.
Not Req'd.
WORK
of EXEMPTION
I
PERMIT N MtiER _ '
DATE
DESCRIBE WORK
8. x
�O � 3nnot
FEES COLLECTED
VALUATION Source GAS ELECTRIC W�A/�T FWER
of 6,e �I
r�i
9, Utilities
Single $
I hereby certify that I have read and examined this application and have read the "NOTns included
on reverse side, and know the same to be true and correct. All provisions of laws and erning this
Building
type of work will be complied with whether specified herein or not. The granting of a ot presumeto
give authority to violate or cancel the provisions of any other stat local law regultion or theperformancce
of constructiio^�n.Plumbing
Dol —QL/_ gv SIGNATUREMech.
DATE
SPECIAL APPROVALS SPECIAL CONDITIONS -
DEPT. REQ'D. RECD.���
Plan Check
'�411`�ILv LJ NJ
Env. Health
Planning
SEPA
Mobile Home
Fire Marshall
Co. Engineer
Other (Specify)
Utilities
r
✓
5a
TOTAL $
Zone Clearance
WHEN MACHINE VALIDATED IN
SEPA Checklist
THIS BECOMES A PERMIT.
„ '—
DAT 2�0OFFI CIAL
-. nnnnnvrn rnn 1{`Olinninr
7
;;2* *50.00
*50001
E *00C
175,6
03-04-80
6. 4 7 9,
i
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