1980, 05-16 Permit: 80-4854 DeckPLAN NUMB R -.
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. S.33Zk
LOT
2.
OWNER
Atekecsei
3.
4.
5.
BLOCK
3ow�kS ‘•-!
SUBDIVISION
M ID U-0 r -I E
LEGAL DESCRIPTION - SEE ATTACHED
/kb pinorV
ADDRESS
S ;33L1/4
CONTRACTOR
Sfg141C
ADDRESS
SKIM E '
DESIGNER
"1"%•1/42v-rcef2
1'3os4�plSt+
PHONE
tura--zf3q
PARCEL NUMBER/5
33541-0105
ZIP
9'Rzs06,
Actual Set Backs in Feet ¢1
`
North South .130 R I GO' (East lIWest r
PHONE
Size of Parcgl
el 'A tSo 1
Zone Classification
Sln4tt6 FsnuL'/
ZIP
Type Const.
Occupancy
Sprinklered
Oyes DNo D Req'd.
PHONE
Valuation Building Area in Sq. Ft.
$,Leto° sa17 ZZs'
ADDRESS
ZIP
Main Floor
2ZS
Upper Floors Garage Area
Storage
22.8
CHANGE OF USE FROM
6.
TO
Area of Decks
Ice
Finished Basement
Unfin. Basement
TYPE
7. OF
WORK
NEW ❑ ALT. Er AD'N. ❑ RPL.
0 BLD. D PLMB. 0 MECH. 0 M.H.
D MVE.
D POOL
0 OTHER
No. Baths
No. Stories
No. Rooms
L
No. of Dwellings
CERTIFICATE
of EXEMPTION
Recd.
Nott Req'd.
DESCRIBE WORK
8. ADO 1 T"( ova or becic
Enum. Dist.
Location (Area)
VALUATION
tgco tem
SOURCE
OF
UTILITIES
GAS
ELECTRIC
WATER
INLAND
SEWER
SE.fTic•
-
Ownership
Public 0 Private ¢f
USE CODE
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 /J�
DATE OF APPLICATION S/,Z./a SIGNATURE OF APPLICANT�� ' 3' �'�1 ".
SPECIAL APPROVALS
NAME DATE
Env. Health
Mello 51,5 -
Planning
Fire Marsha
Co. Engineer
Utilities
Plans Examiner
j
lisp a t Lu t'S�15
SEPA hecklist
tiildin Technician
7`--S/els °
SPECIAL CONDITIONS:
PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
FEES COLLECTED
S ngle $
Building 3 csavo
Plumbing
Mech.
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL
PE 6vv, r NUMBER
SO —4 f351-4
02* *68.00
*6800 65
*68006
B *Q00 E
48532
05-16-80
2 6479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
t
DATE ISSUED
• 40,4z '*68.'0.0.W. 171 -
PERMIT NO TOTAL
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