Loading...
1980, 10-17 Permit: 80B-1902 ResidencePLAN NUMBER R- 7 B Plan APPLICATION /PERMIT SPOKANE COUNTY — BUILDING CODES DEPARTMENT NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456 -3675 . AP:,ICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3 COPIES JOB ADDRESS 1. ,%Rc er7 LOT 2. Al LEGAL DESCRIPTION - SEE ATTACHED BLOCK SUBDIVISION / 1"7-.00ti4 440 7,0A/ PARCEL NUMBER /S .. �_ OWNER 3 60•V STaucreori/ ADDRESS /27' C7c16 PHONE 92e-- lio9? ZIP Actual Set Backs in Feet North 4/51 South O East 1;,3 'West CONTRACTOR ACID R ESS PHONE Size of Parcel /4W. !rte X /o Zone Classification ZI P Type Const. Occupancy Sprinklered ❑Yes ❑No ❑ Req'd. DESIGNER 5. ADDRESS PHONE ogev- cam Building Area in Sq. Ft. got-) ZI P �M,yain Floor I Upper Floors Garage Area Storage CHANGE OF USE FROM 6. TO Area of Decks Finished Basement Unfin. Basement TYPE 7. OF WORK ,�,eNEW ❑ ALT. / L"J BLD. ❑ PLMB. ❑ AD'N. ❑ MECH. ❑ RPL. ❑ M.H. ❑ MVE. ❑ POOL ❑ OTHER No. Baths / No. Stories No. Rooms No. of Dwellings CERTIFICATE of EXEMPTION Req'd. Rec'd. Not Req'd. Y DESCRIBE WORK 8.. //1iEai E %?/ /!aE71...c e" VALUATION SOURCE OF UTILITIES GAS ELECTRIC WATER SEWER Sr, C Enum. Dist. I Location (Area) 1 Ownership ei, USE CODE Public ❑ Private 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 DATE OF APPLICATION_.�.0 io `' SIGNATURE OF APPLIC SPECIAL APPROVALS SPECIAL CONDITIONS: NAME DATE Planning Fire Marshall Co. Engineer Utilities Plans Examiner SEPA Checklist Building Technician cAV , ca i/ 'Pew. °It ea ,3- /gcra L SC G rhr.44He-4D) cif 4ffieve0 CdFfit_ ncviu 5 "77,447,6- PERMIT IS NONTRANSFERABLE PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE FEES COLLECTED Single $ Building ?J/ 00 Plumbing Mech. Plan Check SEPA Mobile Home Other (Specify) TOTAL $ ZIr•o6 rPERMIT NUMBER No i eES C ..c.. c`reo WHEN MACHINE VALIDATED IN THIS SPACE, THIS BECOMES A PERMIT. DATE ISSUED PERMIT NO. TOTAL