1980, 07-10 Permit: 80-6896 GaragePLAN NVMBER "
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APPLICATION/PERMIT
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASH IN GTON 99260 / (509)4563675
SPACES - PRESS HARD TO MAKE 4 COPIES
LEGAL DESCRIPTION - SEE ATTACHED
PARCEL NUMBER/5
117,421 -2 -fir y1 oC i., '1 •v Q.Y
INE
7G OY617 1531 3:,11 l
Required set Backs in Feet
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142J -12' i'a
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NortM1 South East
PHONE
size of Pa ¢elZgne C
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$PII1 Level
ZIP
Ty he ConstOccupancy
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OWL Area
I Basement Area
I Garage
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CHANGE OF USE FROM
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$PII1 Level
Rancher
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I hereby certify that I have read and examined this application and have read the "NOTICE" provisions included
No. BaIDs
No. Floors
Building
No. Rooms
Rec Room
to give authority to violate or cancel the provisions of any other state or local law regulating construction or the
TYPE L4 -e.
13 ALT.
❑ Pont.
❑ RPL.
❑ MVE.
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Plan Check
SPECIAL APPROVALS
SPECIAL CONDITIONS:
/
DEPT, REGI RECO.
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SEPA
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❑ PLMB.
❑ MECH.
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CERTIFICATE
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WORK
zone clearance
of EXEMPTION
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FEES COLLECTED
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GAS
ELECTRIC
WATER
SEWER
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of
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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
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.
Plumbing
DATE //FISO SIGNATURE_
_-
Plan Check
SPECIAL APPROVALS
SPECIAL CONDITIONS:
/
DEPT, REGI RECO.
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Env. Health"z!Y�
SEPA
Planning
Mobile Home
Etre Marshall
Other lSPedVl
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Co. Engineer
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Han
//
TOTAL $
zone clearance
WHEN MACHINE VALIOAI
THIS BECOMES A PEflMIT.
SEPA Checklist
DATE
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PERMIT NUMBER
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DATE
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