1980, 05-28 Permit: 80-5059 Residence(PLAN NUMBER
1 '
APPLICATION /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
JOB ADDRESS
LOT
2
BLOCK
SUB6IVISION
3C
LEGAL DESCRIPTION — SEE ATTACHED
Upper Columbia Addition
3.
4. ADDRESS
Same
OWNER
Noll Construction, Inc.
PHONE
922 -L 087
ADDRESS
E. 12721 Sprague Ave.
ZIP
99216
CONTRACTOR
Noll Construction, Inc.
PHONE
Same
PARCEL NUMBER/S , 155 _z.
Actual Set $ticks in Fee , • .7 1 e.5"
North 'South 1.61 East la 'Wes
Zone Classification
Size of Parcel
ctr-t' k 14C1
ZIP
99216
Type Const.
Frame
Occupancy
DESIGNER
5' ADDRESS t km_
+ -
CHANGE OF USE FROM TO
6.
PHONE
Valuation
ZIP
Gt9
Main Floor
2!t x 36
144. .#60PA /3i✓
Sprinklered
❑Yes lIivo ❑ Req'd.
B 1 764Are�ispp it entry)
Upper Floors Garage Area
none
Storage
Area of Decks
8 x 10
Finished Basemen
Unfin. Basement
21t x 36
TYPE
7, OF
WORK
n NEW
BLD.
❑ ALT.
❑ PLMB.
❑ AD'N.
❑ MECH.
❑ RPL.
❑ M.H.
❑ MVE.
❑ POOL
❑ OTHER
No..Baths
No. .Stories
DESCRIBE WORK
VALUATI
9. 39,500
SOURCE
OF
UTILITIES
l (2-LOi‘CteltAl 1
G S ELECTRIC
CERTIFICATE
of EXEMPTION
Enum. Dist. I Location (Area)
Rooms No. f Qwellings
Req'd. Rec'd. Not Req'd.
WATER
SEWER
Ownership
Public ❑ Private ❑
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 reg lating .. struction or the
performance of construction. SEE REVERSE SIDE FOR REQUIRED INSPECTIONS
DATE OF APPLICATION May 12, 1980 SIGNATURE OF APPLICANT a1i » L-
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE
Env. ealthdi
t q27
�%
Planning
Fire Marshall
Co. Engineer
Utilities
.�Plans Examiner
, M SEPA '6 Checklist ht-r
Builchnic
A4'(
.7 ,/W" v
a ,-Ae41,,I,A.ze'L
NOR MA A PER IT REQUIRED"
Watt C uMM g,l ear $ Win
PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
FEES COLLECTED
Single $
Building Z�o.00
Plumbing
Mech.
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL
$2.1Q.
PERMIT NUMBER
go - So 5Y
02* *210,00
* 21000
* 210.008
E *0.00
4637g
05 -10 -80
g 6479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
10 5, 4,0 505.95 '210.002.-
DATE ISSUED
PERMIT NO. TOTAL
-
L..
471
''ettk.-10 Cr ;
214"
ce-')C.,) ref eLA
loco CV\
1
L I // 1 1
• L
t I A t t •
fq, iD
•