1980, 05-02 Permit: 80-4258 BarnPLAN NUMBER
it -607V a
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
1. S.oc .
LEGAL DESCRIPTION - SEE ATTACHED
2.
LOT
16
BLOCK
G
SUBDIVISION
C4 ESTtrt Apcl rcory
OWNER
3. CDORhory "2. E\ a1'CtNS
ADRESS
s .z2GG 6ALFOLJ.(t- a0.
PHONE
RZG 93t
PARCEL NUMBER/S 2q S4t - 0-1 t6
ZI P
�LzoG
Actual Set Backs in Feet I Q
North (51 'South 51 `East .%pi (west 4S'
4.
CONTRACTOR
PcAL,ulLtrk3S CchaSTRUCTtcp
ADDRESS p
IAC
PHONE
g7C,-ct3 ( I
Size of Parcel Zone Classification
ZS$ X 1051
ZIP
Type Const.
Occupancy
Sprinklered
Oyes ❑No 0 Req'd.
5.
DESIGNER
PHONE
/a1 ua tion
(0 30U. 00
Building Area In Sq. Ft.
-7641
ADDRESS
ZIP
Main -Floor
Upper Floors Garage Area
tft
Storage
CHANGE OF USE FROM
6.
TO
Area of Decks
Finished Basement
lJnfln. Basement
TYPE
7. OF
WORK
,-11( /NEW 0 ALT.
VJ BLD. 0 PLMB.
O AD'N.
❑ MECH.
❑ RPL.
O M.H.
O MVE.
❑ POOL
0 OTHER
No. Baths
No. Stories
No. Rooms
No. of Dwellings
CERTIFICATE '
of EXEMPTION
Req'd.
Rec'd.
Not Req'd.
DESCRIBE WORK
8. SAQI a - R, g4.eI.U.L7.Q
(} VALUATION
g. `360. ob
Enum. Dist.
Location (Area)
SOURCE GAS ELECTRIC
OF
UTILITIES
WATER
SEWER
SEpT1C
Ownership J USE CODE
Public 0 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
i]Z1�O
SIGNATURE OF APPLICANT
SPECIAL APPROVALS
;1 NAME DATE
Env. H th A / 5/2"
Planning ,l
Fire Marshall
Ca. Engineer
Utilities
Plans Examiner
TOM pos-CLEC ALT V4360
SEPA Checklist
Buildi Tec<ttni Ian
SPECIAL. CONDITIONS:
YLNNS (ffOCL4E(�
PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
FEES COLLECTED
Single $
Building ti
Building
Plumbing -
Mech.
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL
�i
PEP T,:fr:RBEI3
d_sf2SS
02* *6200
'*6200 155
*62006
E *,Q00 8
425.7
05-02°-80
.2 6'47,9.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
DATE ISSUED
42.,5:85
4.620.`0a�:
PERMIT NO. TOTAL
/ £0(Lshe, 40'
2 poh,/oes 4o'
3fe/a/re r 40'
4 F'o/aIces do'
3-Pc/oh-es 40'
6 Fero/us 40'
7 0air0
6 C'or-ro/s 35'
9 Garr Fs . 3s'
/07?nru.S
// 70/nahes 5
/2 I3c¢/s
/3 Can 4/cyvs
/4 Cacam oers
/5 Squash
6 Cobbs ie
/7 Shrny 6e ns
/6 Oeo s
/9 Ca
20 Cain
2/ Corn
/
Thee a a k
2 Tire _ Ghent/
3 new <%am
l/ Tree Ce;eny
.5 Tee p/urn
Powt,r Cole 1D5
C(, ..,fO
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