1980, 11-07 Permit 80B-3450 Garage DrawingsPLAN NUMBER
/// 7/8d
APPLICATION/PERMIT
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
PERMIT NUMBER
CHANGE OF USE FROM
TYPE
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3 COPIES
JOB ADDRESS
'. e _ 2 (70f7 CY/ c1477~
LOT BLOCK
3
ER
Z-aAv6
JUtlUI V IJIUIV
PHONE
922
ADDRESS
%5 W Ce504e# Auer"
C NTRACTORA)
4. � 6)K &.a.s,
ZW, ,B-ox (53,8
DESIGNER
5' ADDRESS
ZIP
PHON
9.2 s-7
ZIP
6.
SINEW
7, OF
WORK ABLD.
0 ALT.
0 PLMB.
TO
❑ AD N.
0 MECH.
❑ RPL.
O M.H.
PHONE
ZIP
❑ MVE.
O POOL
0 OTHER
LEGAL DESCRIPTION - SEE ATTACHED
PARCEL NUMBER/S
s',,- A ri
Actual Set Backs in Feet
North South ."S East � West
Size of Parcel
Type Const.
V uation DG
IJlain Floor
9.
DESCRIBE WORK
/daLF feLD G
VALUATION SOURCE GAS
OF
UTILITIES
6,744 6E- to 5e Al
ELECTRIC
WATER
SEWER
Occupancy
Upper Floors
Area of Decks
Zone Classification
:14041
S rinklered
DYes ❑No ❑ Req'd.
Building Area In Sq. Ft.
7C-t?iel
Garage Are,. Storage
Finished Basement Unfin. Basement
No. Baths I No. Stories I No. Rooms INo. of Dwellings
CERTIFICATE ! J Req'd. Rec'd. Not Rec'd.
of EXEMPTION
Location (Area)
Enum. Dist.
Ownership
Public ❑ Private tpl
USE CODE
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 autl'ority to violate or cancel the provisions of any other state or local law regulating construction or the
performan::e of construction. SEE REVERSE SIDE FOR REQUIRED INSPECTIONS
DATE OF APPLICATION
SIGNATURE OF APPLICANT�20-e- /1.& `ef-44-1
SPECIAL APPROVALS
NAME DATE
Planning
Fire Marshall
Co. Engineer
Utilities
Plans Examiner
SEPA Checklist
Building T 4f/hri,;(igt.
SPECIAL CONDITIONS:
PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
FEES COLLECTED
Single $
Building .S
Plumbing
Mech.
Plan Check
SEPA
Mobile Home
Other (Specify)
de)
TOTAL $ S4 •
02* *50,00
*50,00
*50.006
A *0.00
310729
1`1=03'-80
1 6479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
=;eP'8�
DATE ISSUED
34.5;0z,` 4 50,00°a' -
PERMIT NO. TOTAL
COOK BROTHERS CONTRACTING
Route 2 Box 853 B
OTIS ORCHARDS, WA 99027
(509) 924-1557
FORM 204 AvniFoblM from /ANE$-.4Mc. Townson0. Mn99 01470
JOB
SHEET NO
Ras Ty L
5 - Ce cb__Coome-7
CALCULATED BY
CHECKED BY
SCALE
DATE
DATE
k
ThLtpart of ;.*t _....^. ik .!1 follows;
;':ily aicug the _ur_ of r• -::.UC. :o _a6:1:. _ . antral 4=836 bf
304")'11" 3.00 fest; :._" ., ee _. 4°22\31"fi 15.72 feet
to the 702. A.�SO o': a3 follows; Beg -Lining at the SW
com,,r ofn 5; N. 23013'55": 92.52 feet; thence
S. '4"�-2 :'.;,plevralley Zstates Second Addition
of _ot described as %1? a:c a corner cf lot 5; thence
J.CkJ - -4-q cr. S. 34022'31"W 99.74 feet
curve r_ i:t thru
l„ o t; t: Wince
.._ _ , icon hGaition
-TAX SEGREGATION APPLICATION FORM
he division -of one or more parcels of real property into
parcels under different ownerships, also applies to
creels.)
/03
•221.re-2 DATE 5 i t l< __
PHONE NUMBER �_ '�
DELINQUENT
TAXES
PARCEL NO(S) _
I. Enter legal descriptions of all portions to be segregated. Also
include legal description of portions remaining (use supplemental
sheet if needed).
II. Make drawing of entire property. indicate approximate dimensions
of allpropertylines. Indicate on tyhich portions of property any
buildings should remain. If a copy of "a survey is available, please
attaieh to this form.
pplication is to be completed in its entirety before processing.
Tki dpproval of this application by the County Assessor or his
ee shall not be construed as authorizing the division of lands for
of sale or subdivision in violation of RCW 58.17 (Plat and
ca). The -taxpayer is hereby advised that no segregation
il4hiaform is completed.
Applicant Sign
THIS AREA FOR USE BY APPLICANT FOR -
DESCRIPTIONS AND DRAWINGS. USE REVERSE
NEEDED.