HomeMy WebLinkAbout1980, 10-21 Permit: 80B-2364 Addition4
PLAN NUMBER. -
70M3
o_/
/o`a//St9
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. e.gia7
LOT
2.9
ADDRES
CONTRAC OR
4. R SSS
YF/ j 4:;44.z
-b ci e er`i-
DESIGNER
BLOCK UBDIVISIONC" l"'v
PHONE
?2 - 7
LEGAL DESCRIPTION - SEE ATTACHED
PARCEL NUMBER/Si8z-5j'+SL/-O7/ 7
,c.Ory .5
N1.17-0,14 1!U SDN ADD/r/DM
ZIP
Actual Set Backs in Feet
North .712 / 'South
A.1
East 7.2 Iwest'3d
PHONE
�3 -tea '
5.
ZIP
qq,&t
Size of Parcel
/ /.2o
Type Const.
V-14
Zone Classification
Occupancy
X2-3
Sprinklered
❑Yes 0 N 0 Req'd.
PHONE
Valuation 9'3J/
Building Area in Sq. Ft.
4L/�
ADDRESS
ZIP
CHANGE OF USE FROM
6.
TO
Main Flool
Area of Decks
Upper Floors 1 Garage Area
Storage
Finished Basement
Unfin. Basement
TYPE
7. OF
WORK
NEW
0 BLD.
O ALT.
O PLMB.
Jc AD N.
0 MECH.
❑ RPL.
❑ M.H.
❑ MVE.
❑ POOL
0 OTHER
No. Baths
/
No. Stories
No. Rooms
No. of Dwellings
CERTIFICATE
of EXEMPTION
Req'd.
Rec'd.
Not Req'd.
DE
C
(J IBE WORtitza 81
`�'
VALUATI N OF
SOURCE GAS ELECTRIC W(ATffPC SEWER
./DQ�(� �UTILLITIES
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
Enum. Dist.
ILocation (Area)
i
Ownership
Public ❑ Private
DATE OF APPLICATION /6"—A..5 ---,?Z.) SIGNATURE OF APPLICANT
SPECIAL APPROVALS
NAME DATE
eaIth
n nt n
/d-/7-0PV
Fire Marshall
Co. Engineer
Utilities
Plans Examiner ff
11►+� p7(. 7
05 LVA /121126
SEPA Checklist
SPECIAL CONDITIONS:
USE CODE
C Al ff OK— df—itn3,—&i
M.4/N P4/2)A W/7`i.�N -2+400
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
PERMIT N"ARER_
02* *80,00
*80.00
*80.006
*000 0
23632
10-21=80
2 6479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
O 1.4,Q4'`=!8 0' 2 3'6.'4 z *.8 0: 0..0.2
DATE ISSUED
PERMIT NO. TOTAL
CII C rnDV
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301
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oftAIN 44.1 d
1V !r k►
400 irtaki
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