1980, 03-03 Permit: 80-1685 GaragePLAN NUMBER
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
[JOB /ADDDRESS/`ry �7 .ren
1. f L`OT 1 BL K SUB� ////��S^Ober '�/
2. I $ IY.C�f' add
O NERg n n
3 !-t c
AD RESS n�7 '�
C, /o /.2 2 .�F�JJ// f.4-evgait�l
PHONE
9zs-o'js/
ZIP
LEGAL DESCRIPTION — SEE ATTACHED
PARCEL NUMBER/S Oa -4*/- /2' Q.Z
LoTuZ L3tKtt
/LL R Ann
Required Set Backs in Feet
North South 7`s
4' ADDRESS n
Ati, Wo/o P n r2Q, i[ d e4'�Co�2azc2—
SIGNER
/12if'D+V./.aJiCk
C NTRACTOR
71/. J . 0,--wd iwr.db d-74)
PHONE
e o Pa
Sizrcel
East/ooR/ 'West /a.
5.
ZIP
99zol,
Type Con
Occupancy
Zone Classification
it/4/
.YP/GPA-4
Sprinklered
Dyes DNo 0 Req'd.
PHONE
9.2G -9S
ADDRESS
9a 9 ,1j.../td, JP T? It tt-
CWANGE OF USE FROM TO
6.
'ZIP
992.a(o
aluation OQ
D
/ooO
OWL Area 'Basement Area
Building Area/n Sq. Ft.
Garage Are
/ss&
Storage
SPIL{ Entry 1 Split Level
a zt,t
Rancher
TYPE IX NEW
7. OF_
WORK 0 BLD.
D ALT. Pi AD'N. D RPL. 0 MVE.
D PLMB. 0 MECH: 0 M.H. 0 POOL
0 OTHER
No. Baths No./Floor
No. Rooms Rec. Room
CERTIFICATE
of EXEMPTION
Reg
Recd.
Not Req
8. ESCRIBE WORK
VALUATI N Source GAS ELECTRIC
of
92 90 ao— Utilities
WATER SEWER
2114)
I hereby certify that I have read and examined this application and have read the
on reverse side, and know the same to be true and correct. All provisions of I
type of work will be complied with whether specified herein or not. The g
to give authority to violate or cancel the provisions of any other state or
performance of construction.
DATE BD SIGNATURE
DEPT.
SPECIAL APPROVALS
REQ'D. RECD.
Env. Health
Planning
Qe 3/3/ F0
Fire Marshall
Co. Engineer
Utilities
Zone Clearance
SEPA Checklist
HOME OWNER'S WARRANTY
ovisions included
es governing this
oes not presume
struction or the
SPECIAL/CONDITIONS:
PLEWS fov� yA
VES ❑ DATE _"; /�� OFFICIAL RAA) l
No ❑ APPROVED FOR ISSUANCE
FEES COLLECTED
Single
Building
Plumbing
Mech.
Plan Check
SEPA
Mobile Home
Other (Specify)
Sir
TOTAL
PE RIAITSTU MISER
f'O-// t5
DATE-3-3-ge)
02* *9800
*9800 6-
*9800v
E *000
1684a
03-03'=80
2 6479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
•
168.52 *98.0'0.°
L
I '
I I
AlAfi
r-
--I-
_ --I--
-
i ^r
i