1980, 03-24 Permit: 80-2567 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
1.
Joe (qfODRESSS
OCO
IV
0 CCI -04,19
LEGAL DESCRIPTION - SEE ATTACHED
LOT
2.
BLOCK
SUBDIVISION
M�DonlA o -(R >ie'
3.
OWNER
I�iIL ` rAM llIoMhk'✓
A gRE55
CONTRACTOR
4. e�
. ADDRESS
9H 36 -22-97
z99-;- co
PARCEL NUMBER/S IL=, 64- f--71 07
cor 1 of Loi 7, Bt cw.
Required//Set Backs in Feet
North s(/ 'South
East CO 'West
PHONE
ZIP
Size of Parcel -
Type Const.
Occupancy
ZoAClassllicatjoonn 1
Spr klered
❑Ves ❑No 0 Req'd.
5.
DESIGNER
PHONE,
Valuation
Building rea in Sq. Ft.
tali°
ADDRESS
ZIP
DWL Area (Basement Area Gage Area
So
Storage
CHANGE OF USE FROM
6.
TO
Split Entry
Split Level
Rancher
TYPE
7. OF
WORK
EBEW ❑ ALT.
LD. 0 PLMB
❑ AO N.
❑'MECH:
❑ RPL.
❑ M.H.
❑ MVE.
❑ POOL
0 OTHER
No. Baths
No. Floors
No. Rooms
Rec. Room
CERTIFICATE
of EXEMPTION
Req'd.
Recd.
Not Req'd.
8.
DESCRIBE WORK (
,A'�/�'�� /�a/^
VALUATION � source r GAS o—+)ELECTRIC
of
9. Utilities
WATER
abMM.
SEWER
c• -•1=2-11 c,
I hereby certify that I have read and examined this applica ion and.have read the "NOTICE" provisions included
an 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 anting of a permit does not presume
to give authority to violate or cancel the provisions of any other state or ocal law regulating cpns tion or the
performance of construction. AC9.e.
DATE a SIGNATURE
SPECIAL APPROVALS
DEPT. REO'D.
Env. Health
Planning
REC'D.
Fire Marshall
Co. Engineer
Utilities
Zone Clearance
SEPA ChecHliE OWNER'S WARRANTY
YEB u
NO ❑
SPECIAL CONDITIONS:
MR -/G to
DATE`3A/ _ OFFIC
APPR
FOR ISSUANCE
FEES COLLECTED
Single $
Building
Plumbing
Mech.
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL $
•
PERMIT NUMBER
DATE
02* *5(150
*50.00 N
*50.006
E *Q00
24Q9B
03=19-80
6479
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS COME iA E MIL O
6X5:1,2 .h. 25'6.72
*58.00..2'}
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A'k'/" I
r,,/ S; d �s
r1.1' Sheaf'I;J
/4, Doer P.i e a d Deep-'
A Cif " Sb/td . Pefre
w Yx9 ,C/o ftS
uta✓
l
e °/R'<�p°81 1
�f nl'fUDal(
r�ear 64(Ah .-rnoa[/
Shead OM Ssk"(4gal
Covina, of /of
nowt 9'x /o' t't
44
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