1980, 02-25 Permit: 80-1457 GaragePLAN NUMBER
APPLICATION/ PERMIT
SPOKANE COUNTY - BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
8 FEES COLLECTED
eALUATION �U Source GAS I ELECTRIC WATER SEWER
of
9. 15 ods— Utilities Single $
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 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 regulating construction or the
performance of construction.
Plumbing
R—"&
DATE -:P- SIGNATURE � Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS:
DEPT. Q'D. REC'D. /rppp ,, - ,//7
Env. Health 44LL� G1/!�[�i�
Az Z 22 l�'�
Planning
Fire Marshall
Co. Engineer
Utilities
Zone Clearance n Ater,
SEPA Checklist r„�i�s It�f9�,U���
v DATE-` OFFICIAL-JitYY1/1f L'1
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL_
PERMIT NUMBER
DATE -ZZ-5?4)
WHEN MACHINE VALIDATED IN THIS SPACE,
THI$ REQOMES A PERMIT.
0 2-'2 5- 8" 0 l A5.7 0
*62,00COL iJ
APPLICANT:
COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 4 COPIES
JOB ADDRESS
y
LEGAL DESCRIPTION — SEE ATTACHED
Zx-2
LlDT
BLOCK
PARCEL NUMBER/S
2.
I
ISUBUIVISFON
5.6,3"vi N,l�—OSD� ?
2NER
PHONE
43A:I �/_
T
3.
/
ADDRESS
ZIP
Required Set Backs in Feet
.L.� 2
North ' South 7,0 �f East / West %-/
C NTRACTOR
PHONE
Size of Parcel
Zone Classification
la4lu'ujza�,t�
4.
AD RESS
ZIP
Type Const.
Occupancy
Sprinklered
❑Yes []No ❑ Req'd.
DESIGNER
PHONE
Valation
DG
Building Area in Sq. Ft.
5.
�lQ —
O
ADDRESS
ZIP
DWL Area
Basement Area
Garage Area
Storage
–�
� /
—
CHANGE OF USE
CHANGE OF USE
FROM
FROM
TO
Split Ent r Split Le I Rancher
7
TYPE r' NEW
❑ ALT.
❑ AD'N. ❑ RPL. ❑ MVE.
•Bat
No. Baths
No. Floors
No. Rooms Rec. Room
/
%,
OF
OTHER
��qq
IX BLD.
❑ PLMB.
❑ MECH: ❑ M.H. ❑POOL
CERTIFICATE
Req'd.
Recd.
Not Req'd.
WORK
of EXEMPTION
I
D BEWORK
8 FEES COLLECTED
eALUATION �U Source GAS I ELECTRIC WATER SEWER
of
9. 15 ods— Utilities Single $
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 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 regulating construction or the
performance of construction.
Plumbing
R—"&
DATE -:P- SIGNATURE � Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS:
DEPT. Q'D. REC'D. /rppp ,, - ,//7
Env. Health 44LL� G1/!�[�i�
Az Z 22 l�'�
Planning
Fire Marshall
Co. Engineer
Utilities
Zone Clearance n Ater,
SEPA Checklist r„�i�s It�f9�,U���
v DATE-` OFFICIAL-JitYY1/1f L'1
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL_
PERMIT NUMBER
DATE -ZZ-5?4)
WHEN MACHINE VALIDATED IN THIS SPACE,
THI$ REQOMES A PERMIT.
0 2-'2 5- 8" 0 l A5.7 0
*62,00COL iJ
l LUT 3 _
� u
160 v''
t
--12s oa Lzu-'d