1980, 02-26 Permit: 80-1542 Garage I
PLAN NUMBER 1 APPLICATION/PERMIT PERMIT NUMBER
SPOKANE COUNTY — BUILDING CODES DEPARTMENT yd /5 -2, r
NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509) 456-3675
DATE -2.---2O-rd
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 4 COPIES
B ADDRESS
1 dAq04- V + e LEGAL DESCRIPTION — SEE ATTACHED
LOT BLOCK SUBDIVISION PARCEL NUMBER/S C42 — /603
2. 71t€ IJ el ' ad
C5542`Ta vv 1/z �'I 871
3.
OWNER
AlC Ccs AOC K PHONE y + pia/Weep()B2?-1 �r �p� ef
A i SS / _ gr- /04 .- /fir 2
�/�„> ,?4 W '& North ti p} 'South /2 [East F 7t West t-•J
C RACTOR ONE Size of Parcel Zone Classification I
4. G'PETkiO/ 'I &L 4� 1/x 2F 4,“,� 2* *X6"200
ADDRESS *c-- 03 e Const. Occupancy Sprinklered !�
E420-3 C c7,E' s /6Le--- - ❑Yes .21�lo ❑ Req'd *'6 2 0 0 U)
DESIGNER PHONE Valluation �' Buildi J re in Sq. Ft. * 6.2 0 0 6
5. ADDRESS ZIP D.�-WLL''�4Area Basement Area Garage B *0 0 0 g/s Area l _--rage 5 C& I
CHANGE OF USE FROM TO Split Entry Split Level Rancher 1 I P
6. J.
02- 26=80
No. Baths No. Floors No. Rooms Rec. Room
TYPE NEW ❑ ALT. ❑ AD'N. ❑ RPL. ❑ MVE. 0 6 et 7 9.
7. OF ❑ OTHER
WORK
[�Q_IBLD. CI PLMB. CIMECH: L: M.H. ID POOL CERTIFICATE Req'd. Rec'd. Not Req'd.
of EXEMPTION
RIBS WORK e
8 `�1�1 U1 / 2 - , _ C„7 _�, ,mss/-�� FEES COLLECTED
VALUATION /Source GAS /�I� ELECTRIC WATER SEWER
9. 6 Fer CSO of _
�J Utilities
Single $
I hereby certify that I have read and examined this application and have read the "NOTICE" provisions included O°
on reverse side, and know the same to be true and correct. All provisions of laws and ordinances governing this Building r0
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 stat or local law regul ' g c uction or the
performance of construction.Cg-
_,{ Plumbing
DATE � ! • 80 SIGNATUR tl.4' -r a. 4��+-•, Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS:
DEPT. REQ'D. REC'D. ,yA' ,
�� Plan Check
Env.Health / 491,4•11C-1 /Pit,f'�`,C"
Planning XfeetAdVs' 4/t 11 w
Mobile Home cn
Fire Marshall "
Co. Engineer Other (Specify)
Utilities TOTAL $ 6.2=0'9
Zone Clearance
WHEN MACHINE VALIDATED IN THIS SPACE,
SERA Checklist at_ (o'8d -- THIS B COMES A,PERMIT. 1 o_I
DATE OFFICIAL����L`il OCCI=IL
02 — co —d0 1 5 `Y'''j L * 6 �. 0 0 d F-
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