1980, 03-04 Permit 80-1781 GaragePLAN 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
JOB ADDRESS
7
LOtII6 LOCK
II
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SUBDIVISIONo
°e • -T 61\1ic
O NER
3. Kg, //�vT/yy��� j {�
AD4�E-17 [%s 6y`.IJIjr
CONTRACTOR
I
4' G ADDRESS
rd,rox jig)
DESIGNER
92=I73
PHONE
LEGAL DESCRIPTION — SEE ATTACHED
ADDRESS
CHANGE OF USE FROM
6.
TO
2-- I 1
PHONE
ZIP
PARCEL NUMBER'S 12, L d I I I O
r °IJ Ol 3i,eclz I
33, �, I p' E nlli corms..
or L ca 13I-o l INK tA 1,11, o I.4P TH.
Required Set Backs in Feet
North 70 'South East (West
Size of Parcel
6,5
Type Const.
Valuation
DWL Area
Split Entry
Occupancy
Basement Area
Zone Classification
/PCry.lG
•
Sprinklered
❑Yes ❑No ❑ Req'd.
Bulldineea in Sq. Ft.
Garage. lea
Split Level
Storage
TYPE
7. OF
WORK
W ❑ ALT.
VBLD. D PLMB.
❑ AD N.
❑ MECH;
❑ RPL.
❑ M.H.
❑ MVE.
❑ POOL
❑ OTHER
No. Baths
No. Floors
No. Rooms
CERTIFICATE
of EXEMPTION
Req'd.
Rancher
Rec. Room
Rec'd.
Not Req'd.
DESCRIBE WO
8.
VALUATION
9. r A Cam,
6 C,362><
Source GAS
of
Utilities
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 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 3 — 3 " ��/ SIGNATURE�./ 24j�
)
�i
DEPT.
SPECIAL APPROVALS
REQ'D. REC'D.
Env. Health
Planning
/-3/
Fire Marshall
Co. Engineer
Utilities
Zone Clearance
SEPA Checklist
HOME OWNER'S WARRANTY
vEs Li
NO CI
SPA I.�CONDITIONS:
NI ici6
1 N1 rIt6
MAIL 10 c 6-1vp
DATE OFFICIAL I/ GeCLj/"'
[FEES COLLECTED
Single $ /
Building 5W
Plumbing
Mech.
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL
PERMIT NUMBER
sso-/7e/
DATE .8hfr—F5-'()
02* *5.600
.*5600
*SdOOU
E *Q00 8
1.69,02
03.-03-80
6479
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOIMES A PFrRMIT.
0 0 41.='& 0
178,1z *5.60.0°U
APPROVED FOR ISSUANCE
3T-t-ts- 7 -II
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ook, AV6-