1980, 08-22 Permit: 80-9010 AdditionPLAN NUMBER
APPLICATION/PERMIT
8/02om SPOKANE COUNTY - BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3.COPIES
1.
2.
3.
JOB DDRE$5
LOT
BLOCK
of$\
a I<f
SUBDIVISION
-115154r0000 aac . V I� IMI5
PHONE
G, cv 'F ..031
LEGAL DESCRIPTION - SEE ATTACHED
PARCEL NUMBER/5 42.2.1--7_— 4_102_
ADDRESS
, 4-401 Pe(
CONTRACT,
ADDRESSM
ZIP
CO
Actual Set Backs in Feet
North'. aj 'South
East al 'West
PHONE
Size of Parcel
67x IP -1
Zon CI ssificabon
gibe •
ZIP
Type Const.
Occupancy
Sprinklered
Oyes ONo 0 Req'd.
5.
DESIGNER
ADDRESS
PHONE
Valuation
oo
Building Area,nnSSq. Ft.
ZIP
Main Floor
X50
Upper Floors 1 Garage Area
Storage
CHANGE OF USE FROM
6.
TO
Area of Decks
Finished Basement
Unfin. Basement
TYPE
7. OF
WORK
O/NEW 0 ALT. VAD N.
HX BLD.
0 PLMB. 0 MECH.
❑ RPL.
O M.H.
O MVE.
O POOL
0 OTHER
No. Baths
No. Stories
No. Rooms
No. of Dlwellings
CERTIFICATE
of EXEMPTION
Req'd.
Recd.
Not,pO'd.
DESCRIBE WORK
8.
9.
re
ibmG Ace1-nctJ ( 10 X
WATER O
VALUATION
SOURCE
OF
UTILITIES
GAS
ELECTRIC
Enum. Dist.
Location (Area)
yIl
SEWER
5UO
Ownership /
Public ID Private 10"
USE CODE
I hereby certify that 1 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 �" — 2rt.)
SIGNATURE OF APPLICANT
SPECIAL APPROVALS
'? NAME DATE
E Health
;1 8/22/80
anning
Fire Marshall
Co. Engineer
Utilities
'1111111/41blins
SEP' Checklist
1n l c lap
SPECIAL CONDITIONS:
1---#
IAku .12' ov1 kt
PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
FEES COLLECTED
Single $
Building
Plumbing
Mech.
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL
$ 56
PE. NUMBER
So-90id
02*
*5.600
*5600
887.22
8,0
2 6479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
• p 8;,i {,2 {r�U01
DATE ISSUED
9010
PERMIT NO.
TOTAL
Is
IA"
S
/20.7
2//_11 5/0" — ECl9NKiN--- $7
y5 f,Q0,74 O= cc? AC' ,rRo721