1980, 05-16 Permit: 80-4888 RemodelPLAN NUME:ER
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
D
LOT
SUBDIVISION
W ER �
3 °l' /1liu ZI
DDRESS
COJVTRA� R
.Cc
A7DRESS
DESIGNER
5. ADDRESS
CHANGE OF USE FROM
6.
TYPE
7. OF
WO RK
❑ NEW
❑ BLD.
❑ ALT.
❑ PLMB.
PHONE
—1)Cf
ZIP
PHONE
ZIP
PHONE
ZIP
TO
❑ AD'N.
❑ MECH.
❑ RPL.
M.H.
❑ MVE.
[Xl, OTHER
LEGAL DESCRIPTION - SEE ATTACHED
PARCEL NUMBER/S
67.33-/e/
Eke, 5,6c) 'sp•k-1C.. CD.R,/ik.
L3,ErrAmm RDA
Actual Set Backs in F
North (South
13
Eaft
West
Size of PPaarrccel�^�'y`''�,,
%
Typ Const. Occupancy
Valuation Liv
Zone Classification
Sprinklered
❑Yes ❑No ❑ Req'd.
Building Area in Sq. Ft.
iUeg
Main Floor
DE CRIBE WORK
:C�•Lc.� Gc�
VALUATION SOURCE
OF
u00
UTILITIES
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
GAS
ELECTIQIC
WATER
Upper Floors
Area of Decks
No. Baths
Garage Area Storage
Finished Basement
/Z200
No. Stories
CERTIFICATE
of EXEMPTION
Enum. Dist.
Unfin. Basement
No. Rooms
No. of Dwellings
Location (Area)
SEWER
Ownership
Public ❑ Private 14.
Req'd.
USE CODE
DATE OF APPLICATION ' '' -gU
SIGNATURE OF APPLICANT
251-m,(2-6.4
SPECIAL PPROVALS SPECIAL CONDITIONS:
NAME DATE
Env., I
Planning
57/6
Fire Marshall
Co. Engineer
Utilities
Plans Examiner
SEPA Checklist
B •(din Te nici_
j/itacVka;t4-1 .11-41444t
PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
Rec'd.
Not Req'd.
FEES COLLECTED
Single $
.
1-19
Building3Z
Plumbing
Mech.
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL $
PERMIT NUMBER
02* *3250
*325016
*32506
E *0,00 0
4887
05-16-80
6479,
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
b5-Il'6 80
DATE ISSUED
488.85
PERMIT NO.
*32.50°I
TOTAL
F11 F (f1PY