1980, 07-15 Permit: 80-7135 Residence''LAN NUMBER
(1✓
APPLi.;ATION /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
JO ADDRESS
1. X-9 f� i (.�
LOT BLOCK SU =. 1��IISIONr� y ad
2. J'' ..4 .�i d�L.�'L L'L , c.v,a....�.f ./-: et.4, /Alt �..L _d
OVER ff , PHONE
3. DR
A S ��,,// //// J� ,� ZIP
iDg7 ',Ndti,LGLr. t 1 . L 1 cfQaJ%
PHONE
CO TRACTOR
4. - .r-
A9pRESS
DESIGNER
5.
ZIP
LEGAL DESCRIPTION — SEE ATTACHED
PARCEL NUMBER /S /'.5 J
a' i
L3ATi 5 FIVE A T 97c.:; is r ALIO
Actual Set Backs in Feet
North ii ISouthJri'
Size of Parcel
L' c) 's( I s
Type Const. Occupancy
V -NI
/2 --3
PHONE
ADDRESS
ZIP
Vad ation
A 49 74,E
Main Floor
Upper Floors
/ 7,5
East /Z °4' 'West /.37
Zone Classification- g f
Sprinklered
Elves ❑NO ❑ Req'd.
Building Area in Sq. Ft.
Garage Area 1 Storage
CHANGE OF USE FROM
6.
TO
Area of Decks
Finished Basement
Unfin. Basement
/
7.
TYPE
OF
WORK
IN NEW
❑ BLD.
❑ ALT.
❑ PLMB.
❑ AD'N. ❑ RPL. ❑ MVE.
❑ MECH. ❑ M.H. ❑ POOL
❑ OTHER
No. Baths
No. Stories
No. Rooms
;sy
No. of Dwellings
CERTIFICATE
of EXEMPTION
Req'd.
Rec'd.
DESCIBE WORK
8. .%.,/.CLC4; ,f' -
VAL ATION SOURCE
413
OS?? O�'%.(,»""UTILITIES
OF
I hereby certify that I have read and examined this application and have read the '
on reverse side, and know the same to be true and correct. All provisions of laws
type of work will be complied with whether specified herein or not. The granting
to give authority to violate or cancel the provisions of any other state or local law
performance of construction. SEE REVERSE SIDE FOR REQUIRED INSPECTIONS
GAS
ELECTRIC
WATER
SEWER
Enum. Dist. I Location (Area)
Ownership
Public ❑ Private
USE CODE
'NOTICE" provisions included
and ordinances governing this
of a permit does not presume
regulating construction or, the
DATE OF APPLICATION 7 ° °7' SIGNATURE OF APPLICANT
SPECIAL APPROVALS
NAME DATE
Fire Marshall
Co. Engineer
Utilities
Plans Examiner
ors tfsTU�v��7 /ii yo
SEPA Checklist
B Iding Tec ician
U zr( rtA
SPECIAL CONDITIONS:
PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
Not Req'd.
,i
FEES COLLECTED
Single $
Building
Plumbing
Mech.
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL
PERMIT NUMBER
go -7/33'
G2* *28200
* 28200 In
* 282006
E *0.00
71342
07 -15 -80
6.479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
P71,-41'5 —8.0
DATE ISSUED
713.55 *282,002
PERMIT NO. TOTAL
_ i I
_____4_,...i_4__-_ Nora._ — TERRAIN IS RELATIvELy, . FLAT'
1_ �_ ; hND -- ;_DCiNS6Ly ...PAP(ALATEP. _. WITH.., PING TREES
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1 I
I0O0 6ALLoN SEPTIC TANK
O PUT - Or DRAIN FIELD
PROPOSED SITE
or PUTuRE GARAGE
633.36' • - • ._-a- --
•
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0
f-
I •
1
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ALK i AVE. EXIST 44 INLAND POWER POLE
•300.76' DP'
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