1980, 04-28 Permit: 80-4035 Garage PLAN NUMBER
APPLICATION/QkRMI PERMIT NUMBER
v.
SPOKANE COUNTY — BUILDING CODES DEPARTMENTD' -4,0 c.35.
NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509) 456-3675 "�
DATE 42'*—rlJ
APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 4 COPIES (, 2 * * 5 0.0 0
JOB ADDRESS ,.,/ LEGAL DESCRIPTION - SEE ATTACHED * 5 C. 0 0
LOT BLOCK UBDI I I N PARCEL NUMBER/S 2S 2,5' 3._�02/Q * 5 0 0 0 6
2. JO r ER 5 04 &� ,e4PHON �.�T,0 NUMBER/Sc2c2,5'14,3-,,,,,t02/6)
c9
V E * O.0 U
4
3. : ., _. r,/. _ / . ._ .2, -.ch i L / . V,i v TA-... . - . 'TF. (( 0 3.II-2
aADDRESS I ZIP �; 1 Required Set Backs in eet o 0
. ,,,56 6, ii1 d'I/J_ ' i L. 9 9�f North ' 'South 9a East (West/t / 0 4-'L 8—V 0
CONTRACTOR PHONE Size of Parcel Zone Classificationp
.J.1X-V14J atevi� a .Ci 6 4 7 Q,
4' AD RESS ZIP Type Const. Occupancy ,Sprinklered
iW- ❑Yes CI No ❑ Req'd.
DESIGNER PHONE ��.�3.�h !jd BuildinAre,in Sq. Ft.
5. ADDRESS ZIP DWL Area I Basement Area Garage Area Storage
CHANGE OF USE FROM TO Split Entry S lit evel Rancher r
6 No.Baths No. Floors No. Rooms Rec . Room
TYPE Lk NEW ❑ ALT. Xi AD'N. ❑ RPL. ❑ MVE. .....--
7, OF ❑ OTHER Req�d. Recd. Not Req'd. b
WORK
El BLD. ❑ PLMB. ❑ MECH: ❑ M.H. ❑ POOL CERTIFICATE
of EXEMPTION x
ESCRIBE WORK
0 FEES COLLECTED
8. e � � EL _
VALUATI �� Source GAS ELECTRI WATER SEWER
of
Utilities Single $
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 ,.5.
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 aw regulatil str , tin or the
performance of construction. Plumbing
DATE:'.8'g o SIGNATURE ti .,/4,. `/ Mech.
SPECIAL APPROVALS SPECIAL C•N I O G. J//7�S��f ���
DEPT. REQ'D. RECD. /)L +/-. Y6 -yrn-'., n// Plan Check
Env.Health A-(l( /�-- C c'7�, .e- G q___. /---e, /6..�-( >
. 1-C -kc-- Lam'` ,-
,,, '�E i SEPA 2
ming - U
.7 L.17:L., Y-)/112-etrEya._ 7::?,5:/c() ra.
` Fire Marshall Mobile Home
Co. Engineer Other (Specify)
Utilities
TOTAL $ 6o "
Zone Clearance
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist _ i' "`°
T"_,22_gQ � f.,.- THIS UBCOML ES
AO MIT.
,". . _ N r DATEOFFICIALW,(,04 ' 3 5 z *5 a-0 0 a I
APPROVED
FOR ISSUANCE —