1980, 03-17 Permit: 80-2269 Garage PLAN NUMBER APPLICATION/PERMIT_ PERMIT NUM.3ER
2��9 SPOKANE COUNTY — BUILDING CODES DEPARTMENT ffa–2 2&9
NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509) 456-3675 DATE, " j
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 4 COPIES /
02 * * 56. 00
JOB ADDRESS
11 64. 3itet ee9 -A46,.,Lor LEGAL DESCRIPTION — SEE ATTACHED * 560 0�(0 1,kk as\\ * 56,00 6 V)
-
LOT BLOCK SUBDIVISION 0..4, 4 PARCEL NUMBER/S Y
2. II 4 vE c_itis r rD �k, # (� E * 0 0 0
OWNER PHONE O�r Cc.
3. Al 074.. 8'OA S "7: -cW8 Vsli-ei 22292
ADDRESS �f IP Required Set Backs in Feet
Y4 ¶�;.g E 'v-340 C-00/Lt 04744404 r703 North 'South 1441" East 'West I
l CO TRACTOR PHONE Size 9f Parcel . Zone Classification
4. oi_le ("��tr+�- /d►C 5 , G C I// ,511 aoax tiv iKv�' 5F R 0 3– 1 3–8 0
AD KESS ZIP Type Const. Occupancy Sprinklered 'I n
Elves ❑No CI Req'd.Req'd. g 6 7 9.
DESIGNER PHONE
/// /� /��� 1 PHONEr { r Valuation �`1� Building Area in Sq. t.
5. ADDRESG LA`� '4 Adser J ) i 4 ` + ��11' 1 co'(�,/, _
ZIP DWL Area I Basement Area Garage Artis Storage
CHANGE OF USE FROM TO Split Entry Split Level Rancher
6. r ...----
No.
iNo.Baths No. Floors No. Rooms Rec. Ro m
TYPE IEW ❑ ALT. ❑ AD'N. ❑ RPL. ❑ MVE. J
7, OF / CI OTHER
WORK BLD. ❑ PLMB. ❑ MECH: 1:1M.H. ❑ POOL CERTIFICATE Req'd. Rec'd. Not Req'd. ,
of EXEMPTION
DESCRIBE WORK �/.,' ' i-
8 Ca Its t,G7* 6I�- ,9 ( 2- K ��) FEES COLLECTED
VALUATC�- 1.4. Source GAS ELECTRIC ATER SEWER ,+
'{1 { of t G
9. Utilities
Single $ —
I hereby certify that I have read and examined this application and have read the "NOTICE" provisions included
f„.0---
on reverse side, and know the same to be true and correct. All provisions of laws and ordinances governing thisg1 ‘t,
totype 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
performanceofconstruction. /�' Plumbing
DATE /_ SIGNATURE _ ARA 'f_ � ids' �� Mech.
�� OF
SPECIAL APPROVALS SPECIAL ONDITIONS:
DEPT. REQ'D. RECD. f pL N /^' I 6 f-w Plan Check
r
Env. Health -Aga 'r_
��f 3/ / Ma ll/ V`� !�(� SEPA �
Planning — 73
Mobile Home
Fire Marshall
Co. Engineer Other (Specify) r-
02
Utilities P APPRO ,�-)V-�CP TOTAL $ 5 �D
Zone Clearance WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Check0{t _ 0 r � 3./7 _Y (fin• THIS BECOMES A PERMIT.
DATE OFFICIAL X.D./Ifinn� Gt"
APPROVED FOR ISSUANCE - 1 - Ol `, 6. 9 * S 6.0 0 c H