1980, 10-24 Permit: 80B-2646 StovePLAN NUMBER
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
X0/8 <5.9ro--5
LEGAL DESCRIPTION - SEE ATTACHED
LOT
2.
BLOCK
SUBDIVISION
3.
4.
5.
OWNER
741,14_
ADDRESS
N. li �8
CONTRACTOR
S/7/nf
ADDRESS
S.04,9/6--
DESIGNER
rt/sv6DESIGNER
PHONE
195/V A' S64)
PARCEL NUMBER/S
ZIP
•TCS
Actual Set Backs in Feet
North 'South
East
'West
PHONE
Size of Parcel
Zone Classification
ZIP
Type Const.
Occupancy
Sprinklered
❑Yes ❑No ❑ Req'd.
PHONE
Valuation
Building Area in Sq. Ft.
ADDRESS
ZIP
Main Floor
Upper Floors 1 Garage Area
Storage
CHANGE OF USE FROM
6.
TO
Area of Decks
Finished Basement
Unfin. Basement
TYPE
7, OF
WORK
❑ NEW
O BLD.
❑ ALT. 0�,//AD'N. 0 RPL. 0 MVE.
O PLMB. E MECH. 0 M.H. 0 POOL
0 OTHER
No. Baths
No. Stories
No. Rooms
No. of Dwellings
CERTIFICATE
of EXEMPTION
Req'd.
Recd.
Not Req'd.
DESCRIBE WORK
8
4000v/a /2/u c .570 UC
VALUATION' SOURCE GAS
OF
9. UTILITIES
Enum. Dist.
Location (Area)
ELECTRIC
WATER
SEWE R
Ownership
Public ❑ Private 0
USE CODE
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
a
SPECIAL. APPROVALS
NAME DATE
Env. Health
Planning
Fire Marshall
Co. Engineer
Utilities
Plans Examiner
SEPA Checklist
Bulldln Technician
‘.. /O/2€(74b
SIGNATURE OF A‘PP
SPECIAL CONDITIONS:
PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
FEES COLLECTED
Single $
Building
Plumbing
Mech. i? d0
Plan Check
SEPA
Mobile Horne
Other (Specify)
TOTAL $ .7rOQ
M
PERMIT NUMBER
04*
*7.00
*7.00
264.52
10-24-80
0479,
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
104404'401
DATE ISSUED
26465
*7,00°
PERMIT NO. TOTAL