1980, 03-24 Permit: 80-2585 ResidencePLAN NUMBAR
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
JOB ADDRESS
1. li • j� I 1I (' �a
SUBDIVISION
2.
3.
4.
LOT
11 ER
z.
ADDRESS
CONTRACTOR
BLOCK
LEGAL DESCRIPTION — SEE ATTACHED
PHONE
..2�
ZIP
PARCEL NUMBER/S .. 07 1
Required SetBacksin Feet '1
North 40 South 3 v 1East
+ 'West 70
2 -
PHONE
276— &cel!
Size of Parcel
;ZOO' 11 0
Zone Classification
DDR
I Sox
ZC?K
Type Const.
Occupancy
Sprinklered
❑Yes ❑No ❑ Req'd.
5.
DESIGNER
ADDRESS
PHONE
ZIP
Valudtiv So 0
IIWLAIB sGeme1ngUGarage 42a
rMtn8
Building rea in Sq. Ft.
c
J.torn r�1x_r_
CHANGE OF USE FROM
6.
TO
7.
TYPE
OF
WORK
!./NEW ❑ ALT.
2/BLD. ❑ PLMB.
❑ AD'N.
❑ MECH:
❑ RPL.
❑ M.H.
❑ MVE.
❑ POOL
❑ OTHER
Spilt ntry )
:.cam 77 LJ rerkt
No. Floors
No. Baths
Split Level
Rancher
No. Rooms
Rec. Room
CERTIFICATE
of EXEMPTION
Req'd.
Rec'd.
Not Req'd.
DESCIBE 1,�'i L6 R P M I Vsocow Vey
K
9 VAL�N�� ^ UtilitiesSou e GAS ELEC oRf WATER
8.
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 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.
//
DATE / /4A/e--
DEPT.
SPECIAL APPROVALS
REQ'D. REC'D.
Env. Health
Planning
/64._6& 3//yc--6
Fire Marshall
Co. Engineer
Utilities
Zone Clearance
SEPA-Checklist
SPECIAL CONDITIONS:
N -/\K. ATTACH 619
Gci•K (-4c . CFIA — IZP— , -2.v; 02-
3 72.- 4>o)
cAL.1 �
Pi-Ags A9Pl2-oVE.F-
DATES^2.i'f—[TD OFFICIAL
ADE/Di-II/Cr) r(1D 1001 IA PUCE'
FEES COLLECTED
Single $
Building '. .
Plumbing
Mech.
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL $
PERMIT NUMBER
'60 ,25SS
DATE /7 /4,t c9<2-)
02* *37600
*37600
*376006
E *Q00 8
228.42
03-17-80
2 6479.
1,
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
03 24-80 258,52 *376,002-12