1980, 03-31 Permit: 80-2865 Garage PLAN NUMBER _ APPLICATION/PERMIT PERMIT NUMBER
SPOKANE COUNTY — BUILDING CODES DEPARTMENT �' �'
NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3 COPIES 0 2 * * 5 6 0 0
JOB ADDRESS
1. / /ateLEGAL DESCRIPTION - SEs
/Ds)
ATTACHED * 5 6 0 0
LOT BLOCK SUBDIVISION �1 PARCEL NUMBER/S 1755 3 "/Og�p * 5 6 0 0 cy.-i
2. /8 , GtTINRIES VALLEI vi FAA) STH ADDtTinN
OWNER PHONE E * 0 0 0
3. JOHNi 1-. F12-1 EP I28- 7J'1C, 286,4 ze
ADDRESS ZIP Actual Set Backs in Feet
£• 1900 9 SPgAf Cil4 �A- NACC.ES 99016 North 71 (south 25 East Cr' Lest ,s 0 3—3 1 -8 0
CONTRACTOR PHONE Size of Parcel I Zone Classificationsit PIE- 85—
X 120 AC.-1 cit L`CVIKAL SUE. ❑ 6 4 7 9,
4' ADDRESS ZIP Type Const. Occupancy Sprinklered
11'N /2--3 M-t Dyes ❑No ❑ Req'd.
DESIGNER PHONE Valuationr �/ Y Building LArea'in Sq. Ft.
5' ADDRESS ZIP Main Floor Upper Floors Garage Area Storage —
CHANGE OF USE FROM TO Area of Decks Finished Basement
Unfin. Basement
6.
��� No. Baths No. Stories No. Rooms No. of Dwellings
TYPE D NEW 0 ALT. L7 AD'N. 0 RPL. 0 MVE. �— t Al.+ i
7. OF ,-1-".g.-.LD.
,// ❑ OTHER
WORK 1 - -.D. 0 PLMB. 0 MECH. 0 M.H. 0 POOL CERTIFICATE Req'd. Recd- Not Req'd.
of EXEMPTION 4---
DESCRIBE
�
DESCRIBE WORK (2- 'X` -) Enum.Dist. I Location (Area) ' FEES COLLECTED
8. 6A'KA6, — A_ErAcHE0 -ro 1 XAs-n test �IVc� I
VALUATION SOURCE GAS ELECTRIC WATER SEWER Ownership USE CODE
OF
9. UTILLITIES Public ❑Private 0
Single $
I hereby certify that I have read and examined this application and have read the "NOTICE" provisions included or) _
on reverse side, and know the same to be true and correct. All provisions of laws and ordinances governing thisBuilding �� XX
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 INSPECTIONS Plumbing
DATE OF APPLICATION ,,. 6, /v/a1^ g0 SIGNATURE OF APPLICANT ^-C Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE Plan Check
Env. Health
b. KrterQ Q 3-2.13--%0 SEPAa.
Planning
r)
w
_ Mobile Home ___1C
Fire Marshall L c
X(ST(I�`1 L( S� cr.
Co. Engineer Other (Specify)
,
Utilities "y�� 0
Plans Examiner
?LAW APIVINW 3216-et "T'hollltj Rs-newaif TOTAL $ �6 JS)C
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist THIS BECOMES A PERMIT.
,ildin. T hnician PERMIT IS NONTRANSFERABLE Q ��: iY'1 —`8 2 8 6'5 5 * 5.6"0 0 ° F- —
��, PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL
85'p)
A
/� R(�sivENc�
1912-0190 SEV
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