1980, 03-13 Permit: 80-2162 Garage r y
PLAN NUMBER APPLICATION/PERMIT PERMIT NUMBER I
_5V9'' SPOKANE COUNTY — BUILDING CODES DEPARTMENT �� ��`�
NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509) 456-3675 DATE 2'/-z-- )
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 4 COPIES
i:' 2 * * 50.ks, 0
JOB ADDRESS
1.
'12 '`?' V LEGAL DESCRIPTION — SEE ATTACHED :} 5 0, 0 0 rn
LOT BLOCK SUBDI ISION PARCEL NUMBER/S 0 "z57�—.06U/ * 5 0,0 0 6
,2. / E-i-a /,ai add' Y �7
£, 44L
�/ A� � co
PPHONE �i �CT,/� 'Q�/1 'C *3, ADDESV _ BiLL L %PI—7®�.J Required Set Backs A i.d' A57-- DSD 2 '1 6, 1
�'/.
./-ib/.4 C/ [�C.6—P � ./ q.9.2./6 North Z.Q ° (South/.3,/ East 6:7,5 a 'West/74,3 lei, " 0 3- 1 3,-8 0
COp TRACTOR PHONE Size of Parcel Zone Classification
AQ ebt4 f� _ q' 'x J3.2 / e ..,ate/e.2�• h 1J 7 9
4' ADDRESS ZIP Type Const. Occupancy /Sp nklered
�i ❑Yes ❑No ❑ Req'd.
DESIGNER PHONE V uation OLZ Building Area in S . Ft.
5. >f jL752 , -.2F _
ADDRESS ZIP DVJL Area I Basemennt Area Garage Area Storage
CHANGE OF USE FROM TO Split Entry Split Lev I Rancher
6.
TYPE No. Baths o. Floors No. Rooms Rec. Room
Cg NEW ❑ ALT. ❑ AD'N. ❑ RPL. ❑ MVE. ' /
7. OF ❑ OTHER
WORK Cg BLD. ❑ PLMB. ❑ MECH: 0 M.H. ❑ POOL CERTIFICATE Req'd. Rec'd. Not Req'd.
of EXEMPTION X
SCRIBE w,gR K FEES COLLECTED
424-1-144%/Ze.i---
Nie LUATIO Source GAS ELECTRIC WATER SEWER
of
9- ,1�'7 Q, ' Utilities Single $
9 —
I hereby certify that I have read and examined this application 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 Building 3D
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
Plumbing
performance of construction.
DATE S8!
"- "- ' SIGNATURE i. ies 2,-.1 a t/C .��-l' Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS:
DEPT. REQ'D. REC'D. Plan Check
Env.Health JJ , /
W(S 2 SEPA
_ -C.)/
,./,}/J// ��//j Mobile Home `n
Fire Marshall £ ` ete "_"e —
Co. Engineer , //��/ Other (Specify)
Utilities /
TOTAL $ SU
Zone Clearance
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist PLANA RiV � A THIS B�COMESA.PERMIT. ('
.. DATE3—I)- OFFICIAL �1 �� "� �`_ (� !. �, ci * �.� t� d;APPROVED FOR ISSUANCE —