1980, 10-28 Permit: 80B-2854 AdditionPLAN NUMBER_______
24e5
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. Co iez(3.5- 004.er-e YC -7
2.
LOT
OWNER
3. 42,
ADDRESS
/ezo 5
CO NTRACTOR
jc(040,1 *GO /Age CC/
4.
5.
BLOCK
LEGAL DESCRIPTION — SEE ATTACHED
SUBDIVISION
/fri, R48 e ',F4A/cif
;De AC.E.e So../
PHONE
PARCEL NUMBER/S
0916-
0 -54
ADD RESS
E zo/q /97#94,11
DESIGNER
ZIP
Actual Set Backs in Feet
North ISouth
East 'West /'C.)
PHONE
Size of Parcel
x- /3
Zone Classification
46/e/. Cd'oaLifi/s3A11/
ZIP
flaiOr
PHONE
Type Const.
J-14
Occupancy
M -I
V uation
r3,364'
ADDRESS
ZIP
Main Floor
Sprinklered
0Yes 0No 0 Req'd.
Building Area in Sq. Ft.
Se 4
Upper Floors Garage Area
54,4/
6.
CHANGE OF USE FROM
TO
Area of Decks
Finished Basement
••••••••0.
TYPE
7. OF
WORK
El NEW
0 ALT.
BLD. 0 PLMB.
AD'N.
0 MECH.
o
RPL.
o
M.H.
O MVE.
O POOL
0 OTHER
No. Baths
No. Stories
NO. Rooms
Storage
Unfin. Basement
No. of Dwellings
DESCRIBE WORK
8. "0,0 775 ReSe.,06,vccs
GAS
FVALUATION
3,36y
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
SOURCE
OF
UTILITIES
ELECTRIC
CERTIFICATE
of EXEMPTION
Enum. Dist. I Location (Area)
Req'd.
Rec'd.
Not Req'd.
WATER
SEWER
c
Ownership
Public 0 Private [g./
USE CODE
DATE OF APPLICATION
SIGNATURE OF APPLICANT • e4 -60/-t2
SPECIAL APPROVALS
NAME DATE
En ealth
/eya
a nin
Fire Marshall
Co. Engineer
Utilities
Plans Examiner
- 10
EPA Checklis
SPECIAL CONDITIONS:
Buildingchnician
/6
in #0/ 7-0 co fif •-rizoic-ro
B.Pus 477 eiceic..-7-
,e—ecc-Ads-e
PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
e
FEES COLLECTED
Single
Building
Plumbing
4/lech.
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL $ qq. CI
PERMIT NUMBER
/50 ZgiSel
(). 2
6 7 -7
- 2 L - 0 0
6, it 7 9.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
28i40 *440'0-
a. 1-
DATE ISSUED PERMIT NO.
TOTAL
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l s:CaL5-- 1) 5 F
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