1980, 01-06 Permit: 80-920 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
JDBC /8909
8
1.
90 9 TcKsa✓
LOT BLOCK
2. /0 7
LEGAL DESCRIPTION — SEE ATTACHED
sugDlVl;lo /IG( /fir // / ST
OWNER
3. /'-/AC. GPAti
ADDRESS
/03o W • SR7�F�I.P0
PHONE
525-0910
PARCEL NUMBER'S o3955Z-448/O
an/o ,BCK '7 ,gam /Pi% 00.41
gensit /sr:
Required Set Backs in Feet
�`
North 5Sf 'South 4 East ++
(West 40
skizo i_J\ar /N a 5 ,SC_bes
a. N ///5 /hie
S
DESIGNER
5.
4 -kJ? 37v9/
9a06
4
a,l
DATE
Size of Parcel Z e Classificatio
63 X /60 a.a -144,4 t ewL
pe Const. Occupancy Spr nklered
ep C
UVes ENo 0 Req'd.
PHONE
Valuation /4 a a IBuilding ea in Sq. Ft.
4
ADDRESS
ZIP
DWL Area I Basement Area Garage Area
Storage
CHANGE OF USE FROM
6.
TO
Split Entry
7.
TYPE
OF
WORK
CJ NEW 0 ALT.
Ila–BLO. 0 PLMB.
❑ AD N. 0 RPL. 0 MVE.
❑ MECH: 0 M.H. 0 POOL
0 OTHER
No. Baths
Split Level
No..Floor Rooms
CERTIFICATE
of EXEMPTION
/
Ra cher
Rec. Room
Req'd.
Recd.
Not Req'd.
>c
SCRIB WORK
6. ri 1/q cc G%L a C C
VALUATION
9.4/2 00—
Source
of
Utilities
GAS
ELECTRIC
WATER
SEWER
I 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 regulati co ction or the
performance of construction.•
DATE —41-Sko
SIGNATURd. „eft t
DEPT.
SPECIAL APPROVALS
REQ'D. RECD.
Ent Health
Planning
eedi/e-n-v /717,50
Fire Marshall
Co. Engineer
Utilities
Zone Clearance
•
SEPA Checklist
SPECIAL CONDITIO
DAT ES640
APPROVED FOR ISSUANCE
FEES COLLECTED -
Single
Building
Plumbing
Mech.
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL $ T�
PERMIT NUMBER
%o— q0.0
,02* *5000
*5000 1
*50006
E
*0.'00
91'.98
01-06:-180
61 7'9.
CC
0
— U
IJJN
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
011,70.6-8y0'
,0.&g:, 0'
9202
*50,OO.ap
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