1980, 03-06 Permit: 80-1859 Garagei. -LAN NUMBER
APPLICATION/PERMIT
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 4 COPIES
1.
2.
3.
J B ADDR SS
� yC� —s
LOT
BLOCK
SUBDIVISION
C411-1(,'Oh
Oin
ADDRESS+
17 L-10(- C -0ire,�
CONT ACTOR
4. ‘--pg,, i�-�r-�
I))�Z.c
ADD
/v (c Z b rn,aekii I ` f nlz.
DESIGNER/"y^ (�J
5. ADDRESS , l�
_4,0Q/144 nem
NJ' adtil-L,
LEGAL DESCRIPTION — SEE ATTACHED
PJ-1ON E
�a 6'I/ 2s
PARCEL NUMBER/S
L3, i / 6r f L&
/9.5-S2. - /60.�
ZI P
c)(-6/,
PHONE
yam'-os�%sJ
Required Set Backs in Feet / /•
Northi,,1 'South .2••0 East 6,
Size of Parcel
'West 25
Zone Classification
D ,
76/(.5 n,
PHONE
Type Const.
Occupancy
Valuati; '' )20
Sprinklered
❑Yes ❑No ❑ Req'd.
uilding Area in Sq. Ft.
5-767
ZIP
DWL Area I Basement Area Garage Area
Storage
CHANGE OF USE FROM
6.
TO
Split Entry
Split Level Rancher
2t P
TYPE
7. OF
WORK
NEW ❑ ALT.
❑ BLD. ❑ PLMB.
❑ AD'N. ❑ RPL. ❑ MVE.
❑ MECH: ❑ M.H. ❑ POOL
❑ OTHER
No. Baths
No. Floors
No. Rooms
Rec. Room
CERTIFICATE
of EXEMPTION
Req'd.
Rec'd.
D R IB�E�W O R K8. ---J
` \ a
lkel
"
VALUATION Source GAS
9. -69: nn of
ELECTRIC
WATER
SEWER
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
type of work will be complied with whether specified herein or no se granting of a erml : •es not presume
to give authority to violate or cancel the provisions of any other state or ocal law reg Iating cons uction or the
performance of construction.
DATE .� `�+� �% SIGNATURE`
DEPT.
SPECIAL APPROVALS
REQ'D. RECD.
Env. health.,
3-4 g4
Planning
Fire Marshall
Co. Engineer
Utilities
Zone Clearance
SEPA Checklist
SPECIAL CONDITIONS:
DAT E
Not Req'd.
X,
FEES COLLECTED
Single $
Building .31(��
Plumbing
Mech.
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL
PERMIT NUMBER
b
DATE 3 Tc>S}
02* *3800
*38.00 rn
*38.006
E *000 8
1 85.8
0306'-80
6479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
3Lo 6 "8 0' 18 5, 9 z
*38.000;
c
Iia' ,,
1- 1 11.11 r�{..4 l r»� 1 1 1 I
�„ 1rfi11,1 -11,
1
csty
•
1 1 1 1,
, 4 ,
a--4- L I t �-
+_1
1
d'ori of 77c
1 , I .
1 •
1 4
L.
4-
I
■Yi1■■ ti
t
•
t� •FIP
I
afi {rt�t�.
t I I--� - I- ,
I
f 1 r• --4f _4H- _I- '
t-'
4-41
4-
trwais rcrP
U
V
nto
v3 f �V
1X2S 1
4_90)1 -zssb(
ciio5b
Tim Ioa 1ra`v