1980, 10-03 Permit 80B-1361 ShopPLAN NUMBER
/
�J �1
PLIC flO `JIPERMIT
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
1. EAsr 7-fe/i/l/r
LOT
2. /a
BLOCK
6
SUBDIVISION
RANO V/e44)
11 LEGAL DESCRIPTION — SEE ATTACHED
3
4.
5.
6.
OWNER
Pats7 CourRo
ADDRESS
£ 1390 6
Q� s hrr r
CONTRACTOR
Wit ST,F/dN ST19114TU PiS
ADDRESS
DESIGNER
\N/f 87/V4N J r /Pctcru-o3 S
ADDRE
, SS �- d / a/P4/.1.0/-t',4f'
CHANGE OF USE FROM
TO
1. Tnrc.
,L/I/G,
s/oo/%' /4
PHONE
ZIP
9
PHONE
1533'`1774�
ZIP
PARCEL NUMBER/S 5/S 4/L/ — D giL/
.447 /� ,C3.ci'f!o /�ANt7t 4 i i ACR&S
Required Set Backs in Feet
North / 36 'South /29
Size of Parcel . 7
TYPO/ nst. 1 )(3
&- 99-2e I ,17:/i7_'
PHONE
C3i5 77
ZIP
ZIP 99.Zrrt
Valuation
3DOM
ccupancy
e/
DWI/Area 'Basement Area
Split Entry
, East C 'West
one Classification
Co/N•✓''-‘,PiG'/04c
Sprinklered
❑Yes 'No ❑ Req'd.
Building Area in Sq. Ft.
a4/
Garage Area
Spilt Level
Storage
Rancher
TYPE
7. OF
WORK
krNEW ❑ ALT. ❑ AD'N.
BLD. 0 PLMB. 0 MECH:
❑ RPL.
❑ M.H.
❑ MVE.
O POOL
❑ OTHER
No. Baths
No. yloors
No. Rooms
Rec. Room
CERTIFICATE
of EXEMPTION
8. D17/0
RIBE V1LO6K
VALUATION
Source
of
Utilities
GAS
w //9
ELECTRIC
NA/ w /
STO2A�
WATER
SEWER
411r/:1r/C
Req'd.
Rec'd.
Not Req'd.
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 4/ /.Z.—SZ) SIGNATURE
DEPT.
En alt
Plan
SPECIAL APPROVAL
// E4'D. v/
11 " ��if.A47
L�6ro\
/o//s�v
U '
11
i les
Zone Clearance
SEPA Checklist
SPECIAL CONDITIONS:
�2C:H/rir�r—JAMi6 Nrc A MTHE.)
.1-"-
DA �QFFICI
APPROVED OR ISSUANCE
FEES COLLECTED
Single
Building
Plumbing
Mech,
Plan Check
SEPA
obile Home -
Other (Specify)
-
TOTAL f 7 .
DATE
PERMIT NUMBER \l
3-- I- 6ti JII
05* 1 25.45
* 1 25,45
* 1 25.456
A *000
832
09�-12-80
2, 6479,
02* * 1 920.0
1, 1 92.00
* 1 92.006
A *0.00 0
13602
10=03'-80
6.479,
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A,PIERMIT.
1; 0•70'3t .8'0.
136,-1z, *3 1.7,'4�5'11)