1980, 10-24 Permit: 80B-2611 Residence(PLAN NUMBER
)
/0/.2y/1(0
APPLICATION/PERMIT
SPOKANE COUNTY - BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
APPLICANT: COMPLETE NUMBERED l• "S - PRESS HARD TO MAKE 3 COPIES
JOB ADDRESS
/ 7Uv 6,95 reitvel
LOT
2. a
BLOCK SUBDIVISION
vet Vii'/ i1/444,5 /9,,ov i ri•vl
3
OWNER
1'7%s95Co Zciic-/Q tics
PHONE
4 €-?8Cr)
LEGAL DESCRIPTION - SEE ATTACHED
PARCEL NUMBER/S
06-.5-3Z .--./c0
ADDRESS
W. 3o/o c 9. ff1Oi/i6 o
ZIP
Actual Set Backs in Feet
North 3 South / J' East 3
West —
CONTRACTOR
=�Ii7t
4. ADDRESS
DESIGNER
5. ADDRESS
CHANGE OF USE FROM
6.
TO
PHONE
ZIP
PHONE
ZIP
Size of Parcel
//z/Z. /4/ 7. L. ar
Type Const.
Val tion
Occupancy
TYPE
7. OF
WORK
LiCJ NEW
BLD.
❑ ALT.
❑ PLMB.
❑ AD'N.
O MECH.
❑ RPL.
O M.H.
❑ MVE.
O POOL
0 OTHER
DESCRIBE WORK
8. S//Vtir . )1/, .//4, (/
VALUATION
9.rr'3F,p oeL
I hereby certify that I have read and examined this application and nave 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
GAS
ELECTRIC
WATER
Main Floor
I z
Area of Decks
Upper Floors
No. Vaths
Zone Classification
Sprinklered
❑Yes ❑No ❑ Req'd.
Building Area in Sq. Ft.
l09.7--
Garage Area
Finished Basement
No. Stories
CERTIFICATE
of EXEMPTION
Enum. Dist.
Storage
Unfin. Basement
�f3'i
No. Rooms
4
Location (Area)
SEWER
Ownership
Public D Private
Req'd.
USE CODE
DATE OF APPLICATION / _/_L� Q) SIGNATURE OF APPLICANT
SPECIAL APPROVALS
NAME DATE
16/2D
ealh
Planning
Fire Marshall
Co. Engineer
Utilities
Plans Examiner
/0
-ram p�Js-i.��
SEPA Checklist
Buildin Technician
SPECIAL CONDITIONS:
PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
No. of Dwellings
Rec'd. Not Req'd.
FEES COLLECTED
Single
Building
Plumbing
Mech.
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL
PERMIT NUMBER
'L) f3 <z 69 ii
j3* *22000
* 22000
* 220,006
A *000
261,0
10-24-80
6479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
0'' z''y41 15'0'
DATE ISSUED
26112 1.220.002F -
PERMIT NO.
TOTAL
FILF COPY
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Inter -office Communication
To tkAto W6
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Subject
BUILDING CODE DEPARTMENT
SPOKANE COUNTY, WASHINGTON
Dot. 1/ • 10 .8 n
Time:
r� ZO?42Zrt, .
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(FORM 5111 RLOO. COOT 10111 3.14)
Bond Fee
By 16*C Itfr
Inspector
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