1980, 07-22 Permit: 80-7466 GarageNUMBER APPLICATION/ PERMIT
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
/ NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
8. (:�Z/a/LD E 112;GE 7"VPE
4✓ of7�/`.
✓ SOURCE GAS ELECTRIC WATER SEWER Ownership USE CODE
9TH �N OF
LITIlullES SE��T/G Public ❑Private Single $
I hereby certify that I have read and examined this application and have read the "NOTICE" provisions included �%�� Oo
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. SEE REVERSE SIDE FOR REQUIRED INSPECTIO Plumbing
r�ATC nU A1001 11ATlnikl 7`1Y-4/1jD Cl/.IATA. l A0.1 11-1 A/— Af
Mech.
SPECIAL APPROVALS
NAME DATE
nv. a th
7'
Af
an Ing
ire Marshall
o. Engineer
tilities
lans Examiner J(p
EPA Checklist
yIclin�/Technician
JJ Q --I.,_ - n 1— /s
SPECIAL CONDITIONS:
- Plan Check
PFyl"AIT NUMBER
00
^
V 0
*;{[! 00
13 * r `n
7 J 6.
R 0
6 /A % S.
f 4J%AiS 047TqC/4Lc111 SEPA
60 (?O/i37,CNC7'0oCS Gl dc.-vSC Mobile Home
-1�1i' (�' Other (Specify)
T oy At TfLtd,SS>E INc.
L fi'4 ��✓ �c�-lLt-� ✓LZ! i 1�T j� �O
TOTAL $
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
PERMIT IS NONTRANSFERABLE —2 2-1-T0 7 4 6, E
*44.0 0
APPLICANT: COMPLETE NUMBERED SPACES - PRESS
HARD TO MAKE 3 COPIES
JOB ADDRESS
ZIP
LEGAL DESCRIPTION - SEE ATTACHED
1.
E. 7.5' c/ -511ULo Avea
Storage
LOT
BLOCK
CHANGE OF USE FROM
PARCEL NUMBER/S
Area of Decks
2.
S
2
ISUBDiVISIL)N
P'9& -X— R6^0 1'57 I,OA9/71
OWNER
PHONE O
No. Rooms
No. of Dwellings
TYPE ,�(
lJ NEW ❑ ALT. ❑ AD'N. ❑ RPL. ❑ MVE.
R/9
?e4,-#Wft%B5
2 -ate// Z
3.
CERTIFICATE
Req'd.
Recd.
Not Ryq'd.
WORK
ADDRESS
ZIP
Actual Set Backs in Feet
✓
DESCRIBE Wl6RK
tai- 5-1 / S ZItJ%p 1406
'7!2-ZC)6
North South „3 /
East � � West .3 �
CONTRACTOR
PHONE
Size of Parcel
Zone Classification
E Corvus r
Sze -Sze Z
$61-73A
2 . Su uR�p�v
a.
ADDRESS
ZIP
Type Const.
Occupancy
Sprinklered
/Y IqO.3 VZ.40.10/,-V RQ.
Q
-Ill
Dyes ❑No ❑ Req'd.
DESIGNER
PHONE
Valuation 4W
Building Area in Sq. Ft.
8. (:�Z/a/LD E 112;GE 7"VPE
4✓ of7�/`.
✓ SOURCE GAS ELECTRIC WATER SEWER Ownership USE CODE
9TH �N OF
LITIlullES SE��T/G Public ❑Private Single $
I hereby certify that I have read and examined this application and have read the "NOTICE" provisions included �%�� Oo
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. SEE REVERSE SIDE FOR REQUIRED INSPECTIO Plumbing
r�ATC nU A1001 11ATlnikl 7`1Y-4/1jD Cl/.IATA. l A0.1 11-1 A/— Af
Mech.
SPECIAL APPROVALS
NAME DATE
nv. a th
7'
Af
an Ing
ire Marshall
o. Engineer
tilities
lans Examiner J(p
EPA Checklist
yIclin�/Technician
JJ Q --I.,_ - n 1— /s
SPECIAL CONDITIONS:
- Plan Check
PFyl"AIT NUMBER
00
^
V 0
*;{[! 00
13 * r `n
7 J 6.
R 0
6 /A % S.
f 4J%AiS 047TqC/4Lc111 SEPA
60 (?O/i37,CNC7'0oCS Gl dc.-vSC Mobile Home
-1�1i' (�' Other (Specify)
T oy At TfLtd,SS>E INc.
L fi'4 ��✓ �c�-lLt-� ✓LZ! i 1�T j� �O
TOTAL $
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
PERMIT IS NONTRANSFERABLE —2 2-1-T0 7 4 6, E
*44.0 0
OoFloors
5. ADDRESS
ZIP
Main Floor
Upper
Garage Area
Storage
—'
9yo
CHANGE OF USE FROM
TO
Area of Decks
Finished Basement
Unfin, Basement
6.
No. Baths
No. Stories
No. Rooms
No. of Dwellings
TYPE ,�(
lJ NEW ❑ ALT. ❑ AD'N. ❑ RPL. ❑ MVE.
7, OF�/ 11OTHER
LJ BLD. ❑ PLMB. ❑ MECH. ❑ M.H. ❑ POOL
CERTIFICATE
Req'd.
Recd.
Not Ryq'd.
WORK
of EXEMPTION
I
✓
DESCRIBE Wl6RK
Enum. Dist.
Location (Area)
FEES COLLECTED
8. (:�Z/a/LD E 112;GE 7"VPE
4✓ of7�/`.
✓ SOURCE GAS ELECTRIC WATER SEWER Ownership USE CODE
9TH �N OF
LITIlullES SE��T/G Public ❑Private Single $
I hereby certify that I have read and examined this application and have read the "NOTICE" provisions included �%�� Oo
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. SEE REVERSE SIDE FOR REQUIRED INSPECTIO Plumbing
r�ATC nU A1001 11ATlnikl 7`1Y-4/1jD Cl/.IATA. l A0.1 11-1 A/— Af
Mech.
SPECIAL APPROVALS
NAME DATE
nv. a th
7'
Af
an Ing
ire Marshall
o. Engineer
tilities
lans Examiner J(p
EPA Checklist
yIclin�/Technician
JJ Q --I.,_ - n 1— /s
SPECIAL CONDITIONS:
- Plan Check
PFyl"AIT NUMBER
00
^
V 0
*;{[! 00
13 * r `n
7 J 6.
R 0
6 /A % S.
f 4J%AiS 047TqC/4Lc111 SEPA
60 (?O/i37,CNC7'0oCS Gl dc.-vSC Mobile Home
-1�1i' (�' Other (Specify)
T oy At TfLtd,SS>E INc.
L fi'4 ��✓ �c�-lLt-� ✓LZ! i 1�T j� �O
TOTAL $
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
PERMIT IS NONTRANSFERABLE —2 2-1-T0 7 4 6, E
*44.0 0
Extra charge for setting LOT markers. Survey for Loan purposes.
Scale 1" = 20 Ft. Surveyed:
I hereby certify that I surveyed the above iescribed property and that I find the improvements to
be on the premises in question and that they do not encroach on the property lying adjacent thereto—
EXCEPT:�c—
NO improvements encroach on these premises—Except-
OWNER
remises—Except-OWNER or BUYER PHILIP L. SARGENT
&,�:r,onei vn Registered Land Surveyor
bast 7511, i:i o ..ver;ue Phone FAirfax 5-3664
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