1980, 09-24 Permit 80B-842 Residence, Garagef
PLAN NUMBER 1 I
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
t /C /I J_—_. L hr W-
LOT I BLOCK SUBDIVISION
2. / Sr,l - l-'
_ ca.s i Atm/:'042
3.
4. ADDRESS
OWNER
�iJ • 12_ gl- /3gsac1i4 rzS
ADDRESS
6 . Sc7 /9/AJ4 s 2d
CONTRACTOR
/(,l1'
PHONE
ZIP
PHONE
ZI P
LEGAL DESCRIPTION - SEE ATTACHED
PARCEL NUMBER/S
05-- - /(/-J
Required Set Backs in Feet (Wet _5' f
North (South .) 1East ,SJ
II Zone Classifications
Size of Parcel
'44 X:. 7 A PP
sI' l.L . t�sGf
Type Const. Occupancy ❑rSprinklered
❑Yes No ❑ Req'd.
DESIGNER
5' ADDRESS
CHANGE OF USE FROM
6.
TYPE
7. OF
WORK
T
LI—AIEW ❑ ALT. ❑ AD'N.
❑ BLD. ❑ PLMB. ❑ MECH:
❑ RPL.
❑ M.H.
PHONE
ZIP
❑ MVE.
0 POOL
❑ OTHER
Vajpation ziri'i Building Area in Sq. Ft.
1 %L?/
b ,ai aG..
DWL Area Basement Area Garage rea I Storage
/6 76 /G., g
ISplit Entry LSplit Level
I/ 1b(, *:L.
No. Baths I No. Floors 1 No. Rooms Rec. Room
3 .J Req'd..Req'd.' Not Req'd.
FEES COLLECTED
CERTIFICATE
of EXEMPTION
DESCRIBE WORK /� >-�
,/ Asii,4V/« ✓'�I%N �2)01'z t /4 / / - 6,,mitC-z._ SEWER
8..S�.tIi,LC fAIl9/�7 GAS 1 WATER
Source ELECTRIC
V UA ION �1 �1 /�
9 ' I Utilities �)' CO; /� 1 li.J frF!Ja f' t✓L� �/ sE Y T C
f
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
of construction.
e — 71� d SIGNATURE _ eC.-,e---:4-"We—
performance
DATE -
DEPT.
SPECIAL APPROVALS
REQ'D. REC'D.
Env. Healt
Planning
3
Fire Marshall
Co. Engineer
Utilities
Zone Clearance
SEPA Checklist
SPECIAL CONDITIONS:
ni ak p
DATE 7-L3 -'V
Rancher
PERMIT NOMMSER I
DATE g -�
02* *34600
*346.00 N
*346006
A *0.00
8412
09=24`-80
$ 6479.
Single $
Building 1
-317hdr,
Plumbing
Mech.
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
0 94HQ. 4 `S 8'0.
••
842z *1346,QO
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