1980, 03-11 Permit: 80-2086 GaragePLAN NUMBER •
APPLICATION/PERMIT
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
DATE
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 4 COPIES
1.
2.
3
4.
JOB ADDRESS
.. II'7hV MfXWJ A\Jt JJ
LOT BLOCK S BDIIVI a 1 F1 eG L.11300,10/.1OW2N-tk;IC tvbitJ al _ ✓ `1427.- 3452
AOgRESI6,1 1 MAI IV" KAv
CONNIIITTTRR VAI�C/1ITORIt
ADDRESS -
ZGI�P
PHCJNE
LEGAL DESCRIPTION — SEE ATTACHED
PARCEL NUMBER/S //_ Sit/ - 0/1-6
Required Set �Backs in Feet
North 6' U (South
East
(West W •
Size of Parcel
29to'>( 8
ZonicAaxiicatior
ZIP
Type Const.
Occupancy -
Sprinkl red
Yes ❑No 0 Req'd.
DESIGNER
PHONE
Valuation
Bao
Building Area i Sq. Ft.
^T^O
ADDRESS
ZIP
DWL Area I Basement Area Garage Area
Storage
CHANGE OF USE FROM
6.
TYPE
7. OF
WORK
TO
Split Entry
Split Level
Rancher
�❑/^NEW 0 ALT. 0 AD N. 0 RPL. 1�YMVE.
LTJ BLD. 0 PLMB. ❑ MECH. 0 M.H. 0 POOL
0 OTHER
No. Baths
No- Floors
No. Rooms
Rec. Room
CERTIFICATE
of EXEMPTION
Z—r'p) ( NO. 4 51.1�1
GAS ELE RIC WATER
DESCRIB8 WO K
8.
VALUATION
9.
Source
of
Utilities
Req'd.
Rec'd.
Not Req'd.
SEWER
I hereby certify that 1 have read and examined this applica ion 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
DEPT.
SPECIAL APPROVALS
REQ'D- REC'D.
SIGNATURE e• A6A 4_cj
Env. Health
Planning
Pmt ety 3/6/s,
Fire Marshall
Co. Engineer
Utilities
Zone Clearance
SEPA Checklist
LHOME OWNER'S WARRANTY
SPECIAL CONDITIONS:
cikto./46 Lcx'C t Q C 12 01) 0,A
NT- iD GA)-- po 00191 K6r-VAI
/de
,/,„ oec)
yEr, t- DATE' // OFF
�v APP
FEES COLLECTED
Single $
Building
Plumbing
Mech.
Plan Check
SEPA
Mobile Home
Other (Specify) r
TOTAL $ �✓ O
PERMIT NUMBER
02* *1450
*1450 rn
*14506
E *000 S
20852
03-11-80
2 6479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THISB COMES A ERMIT.
O�S��tl A7iE 208.62 X145;0
FOR ISSUANCE —
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