1980, 02-15 Permit: 80-1264 PorchPLAN 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 ADDRESS
t. LOT 748 elSUtiatit
`BOIVIsIo
LEGAL DESCRIPTION - SEE ATTACHED
OW ER
3. to yf 4 il��Jti[.Ih.Ll�vfi
ADDRESS
F
4.
5.
PHONE
92/—S7"f"
PARCEL NUMBER/S — 02.03
,C - sat
K
izRESAMCRss /RR, D/ST, PA -47 A
TRACTOR �Z�rr-,t w�i[ri
TRACTOR
ZIP
99 a/(o
Required Set Backs in Feet
North Sod. 'South 4/j `East 26D� (west /Sa/
PHONE
Size of Parcel 1 Zone Classification
ADRJ ESS
DESIGNER
ZIP
Type Const.
aeptat.ithAnt
Occupancy Sprinkinklered
Eves DNo 0 Req'd.
PHONE
Valuation
Building Area inpq. Ft.
41
ADDRESS
ZIP
DWL Area 1 Basement Area 1 Garage Area
Storage
CHANGE OF USE FROM
6.
TO
Split Entry 1 Split Level
Rancher
• TYPE LJ NEW
7. OF
WORK) O BLD.
❑ ALT. 'AD N. 0 RPL. 0 MVE.
❑ PLMB. 0 MECH. 0 M.H. - D POOL
0 OTHER
No. Baths
No. Floors
/
No. Rooms
/
Re. Room
CERTIFICATE
of EXEMPTION
Req'd.
Recd.
NotReq'd.
DESCRI E WORK
8AL TI ry{ 4 / P ELECTRIC i. SEWER
O 7 of
9 3ooD— Utilities
1 hereby certify that I 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. p
DATE '2'-/3- 574) SI GNATUR E yi`n'4 ,
WATER
DEPT. .
SPECIAL APPROVALS
RECrD. REC'D.
Env. Health
Planning
Fire Marshall
Co. Engineer
Utilities
Zo ne,Clea ra nce
SEPA Checklist
SPECIAL CONDITIONS:
J9 h4 c ,e-htdezt
a44.d Wi/LGf/ft.00.ae
DATE OFFICIA
APPROVED FOR ISSUANCE
FEES COLLECTED
Single $
)013Soa
Building
Plumbing
Mech.
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL $ •i8°
0
PERMIT NUMBER
ye- /.2,0,6
DATE —/S 1U
02* *3800
*3800
*38006
*E *Q00 8
12632
02-15`-80
6479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS,BECOMES AiPEFjMIT.
02.H1'5178'0.
12642 :A38.00•20