1980, 10-13 Permit: 80B-1852 AdditionAPPLICATION/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
S. /ScU. %3c7Tifffrc/
LOT BLOCK SUBDIVISION
OWNER
3. C. TM
PHONE
922-2753
LEGAL DESCRIPTION — SEE ATTACHED
PARCEL NUMBER/S 40.0 f
tyFGore eke. .5. tad 8c c /' 0, ere. "40,
x€1533-10/4
ADDRESS
/5) 4
ZIP
992.64'
Actual Set Backs in Fee
North /5 (South
CONTRACTOR
*Sim(
' ADDRESS
..71910
DESIGNER
5. ADDRESS
CHANGE OF USE FROM
6.
TYPE
7. OF
WO RK
Lr'J NEW
❑ BLD.
❑ ALT.
❑ PLMB.
PHONE
ZIP
PHONE
ZIP
TO
LCI AD'N.
❑ MECH.
❑ RPL.
❑ M.H.
❑ MVE.
❑ POOL
❑ OTHER
Size of Parcel
East ✓ t
Sw
(02-4Garage e
West
Zone Classification
/&)K/.7 S //f/�. i�3c:d% r9iLr
Type Const. I Occupancy
Sprinklered
❑Yes ❑No ❑ Req'd.
Valua Building Area ea in Sq. F
/5,,t09(.•4loc/r I Upper Floors Area
Storage
Area of Decks
Finished Basement
Unfin. Basemen
DESCRIBE WORK
8.4,,0,0/ro/1+'
Re/,f?F.r e
VALUATION
gt,/5"-c.cfG,
I hereby certify that I have read and examined this application and have read the "NOTICE" provisions included
SOURCE
OF
UTILITIES
GAS
ELECTRIC
WATER
No. Baths
No. Stories
CERTIFICATE
of EXEMPTION
Enum. Dist.
No. Rooms
No. oft Dwellings
Location (Area)
SEWER
Ownership
Public ❑ Private
Req'd.
USE CODE
on reverse side, and know the same to be true and correct. All provisions of laws a oydinanc= governing this
type of work will be complied with whether specified herein or not. The granting .f a germ. does not presume
to give authority to violate or cancel the provisions of any other state or local la ' reg ati r g 6nstruction or the
performance of construction. SEE REVERSE SIDE FOR REQUIRED INSPECTIONS
DATE OF APPLICATION / / SIGNATURE OF APPLICANT
SPECIP APPROVALS
NAME DATE
E
Planning
Fire Marshall
Co. Enginee
Utilities
Plans Examiner /1%/3
-Ten roecy( uJkj7 80
Buildin echnicia
SPECIAL CONDITIONS:
?'3'u5 147f'04cHell
eZ;-74i )f,,a,dizt /./ e
PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
Recd.
Not Req'd.
FEES COLLECTED
Single
Building
Plumbing
Mech.
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL
$ 116•(00
PERMIT NUMBER
02* *11600
* 11600
* 116006
A *000
185.12
10-13-80
6479
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
10-,dPP.:8qpa
DATE ISSUED
185.22 *-116,002 —
PERMIT NO. TOTAL
KII F NIPV
\ Be 5 k te7TrINAO