1980, 03-24 Permit 80-2634 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
JOADDRESS
LOT
BLOCK SUBDIVISION
OWNER J•
3 11 r 1 k e S f1�(4i
ADD ESS .7
I)TRA TSR
reU L1�11 L erI
13 a) (o •
��,.1 C. r,
DE rI NE
ADDJ
CHANGE OF USE FROM ! TO
ADD
6.
/o
PHONE
77 yci
M
`
PHO`
j Ng 02
ZIPelei
'A )PH
P
zIPgo 0
LEGAL DESCRIPTION - SEE ATTACHED
PARCEL NUMBER/S 6>C 7)
l� or N, I o0 or 409-1 or
ht_,oc.K, A
Required Set Backs In Feet
North (South 5-6
Size of Parcel
x I6,C,
Type Const. Occupancy
Valuation
DWL Area 1 Basement Area
TYPE
7. OF
WORK
❑ NEW
❑ BLD:
❑ ALT.
❑ PLMB.
❑ AD'N.
❑ MECH:
❑ RPL.
❑ M.H.
DESCRIBE(WORK
8. ✓di <)
VALUATION
9.
aurce GAS
of
Utilities
❑ MVE.
❑ POOL
❑ OTHER
East 7r% (West 17
I Zone CI sslficatlon
Sprinklered
❑Yes DNo ❑ Req'd.
Building Are5InAq.it.
rage area/
ill/ J\
Storage
Split Erir\Split LGvel,--Rancher
No. Baths No. Floors No. Rooms
oms Rec. Room
CERTIFICATE
of EXEMPTION
ELECTRIC
WATER
SEWER
Req'd. Req'd.
Not Req'd.
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 ocal law regulat ng construction or the
performance of cgnstruction.
DATE
DEPT.
SPECIAL APPROVALS
REQ'D. REC'D.
SIGNATURE
Env. Health
Planning
3/7///
Fire Marshall
Zone Clearance
SEPA Checklist
SPECIAL CO
»VONS:
lei' iv✓J, p,t.,1 oN (R.4)
6.01,1-r l.�G , j _ i,� , �t)Vim'
cH-t4l -o
-22, w1 r 3970 3
(/I ait;'f • (tiP'rocc6-• err
(AU., 66K1-114,36.1-6512
DATE
OFFICIAL
FEES COLLECTED
Single $
Building
Plumbing
Mech.
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL $ 62Z
PERMIT NUMBER
DATE
02* *6200
*6200 17
2,1 9.42
03-13-80
g 6479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
0')i.:2:4'18\0
2,6'3, 4 z
*62,00
APPROVED FOR ISSUANCE
5 C;
i
5
gi"Kmet
(2h<"bo0
10 o
p„)