1980, 06-04 Permit: 80-5332 New ResidenceAPPLICATION /PERMIT
SPOKANE COUNTY - BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456 -3675
APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3 COPIES
4.
JOB ADDRESS
E. t5SZC,
LEGAL DESCRIPTION - SEE ATTACHED
LOT
BLOCK
SUBDIVISION
EA2 1* 3c
OWNER
1v4A c f�_c�.1LQE6
PHONE
4 E3—ctgC57
PARCEL NUMBER /S
18--as- 44 1 &S44- Z3csi
ADDRESS
W -(2)1 � , �Z 9-ifv tC(L
CONTRACTOR
vt,1
ADDRESS
DESIGNER
5' ADDRESS
ZIP
PHONE
Actual Set Backs in Feet
North Z 'South 7ZI 1East 3G 'West 2:1.
Size of Parcel .yam
CM„83 13,44
ZIP
Type Const.
Occupancy
Zone
Sprinklered
Oyes ❑No ❑ Req'd.
PHONE
Val tion
i �C10t✓.�
Building Area in Sq. Ft.
ZIP
Main Floor 1 Upper Floors 1 Garage Area
Storage
CHANGE OF USE FROM
6.
TO
Area of Decks
Finished Basement
TYPE
7. OF
WORK
1 NEW ❑ ALT. ❑ AD'N.
V BLD. ❑ PLMB. ❑ MECH.
❑ RPL.
❑ M.H.
❑ MVE.
❑ POOL
❑ OTHER
No. Baths
No. Stories
No. Rooms
Unfin. Basement
32�Q
No. of Dwellings
CERTIFICATE
of EXEMPTION
Req'd.
Rec'd.
N ot R,eq'd.
DESCRIBE WORK
8- 1r iG/. FAv-..it_, -r
ii VALUATION SOURCE
OF
9.75 i j°IOcs. UTILITIES
Enum. Dist.
lC_ C S i D C.N.J C 6
Location (Area)
GAS
ELECTRIC
WATER
SEWER
Ownership
Public ❑ Private lEr
USE CODE
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. SEE REVERSE SIDE FOR REQUIRED INSPECTIONS
6 Air' IP
DATE OF APPLICATION
SPECIAL APPROVALS
NAME DATE
Env. Health
PI nning - o
Fire Marshall
Co. Engineer
Utilities
Plans Examiner
SEPA Checklist
Building Technician
,7/i4 t. ' 61/4/&
SIGNATURE OF APPLICANT
PECIAL CONDITIONS:
'-1 57- c i7C.Ai.> O/v T I LE
11,1 — LEc,Ec-
PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
FEES COLLECTED
Single
Building
Plumbing
Mech.
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL
GC>1cC�F
$
PERMIT NUMBER
c?) 0 - 3`32
02* *2C 1.00
*2C 1.00
*2C'1.006
E *000
531.9§
06 -04 -80
2 6479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
tre-' 0" 4''j 8 0
DATE ISSUED
533,25 *201,000. -
PERMIT NO. TOTAL
.3A51c-
OZ .z9
cu-'T3
•
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L-°T 1 -
Ha7vor...,
rirAT
Argai,5_
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• 1--10.1
932 4 -116 - Lr)/Et_
P;3&IC1 r1444-1
HA3w
11-111,1/K.5
0)
Holezn-i
201 —0"