1980, 10-15 Permit: 80B-2027 ResidenceIPL^N NUMBER
`i
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
S' zo(I c-oNKLIN RoND
LEGAL DESCRIPTION — SEE ATTACHED
LOT
BLOCK SUBDIVISION
`-t'— ' l
2 kc� tvv-c.w 5rv.tfS
OWNER
3. C;c3k0 C,3h/ /t1AiC/�
ADDRESS
S % _32.3 �4 4,G A-42=4 j/
CONTRACTOR i ---77,41C
(.;,0A2,0e>ry /7
4.
ADDRESS
)..10 2
PHONE
DESIGNER DESIGNER
C..i /1:1-./.A/< /71
ADDRESS
CHANGE OF USE FROM
6.
TO
ZIP
PHONE
ZIP
PHONE
ZIP
PARCEL NUMBER/S
2 0 54C2i
Actual Set Backs in Feet
North (50 ISouth 2.o East 70 (West �U
Zone Classification
t `'N4iLk. FAM1LY
Size of Parcel
//4/X/AD X )60 x /151
Type Const.
F',o4ma
Occupancy
Valuation
74-i 8 C)
Main loor Upper Floors [ Garage Area
Sprinklered
❑Yes I No ❑ Req'd.
7 -
Building Area in Sq. Ft.
Area of Decks
— I C/C
Finished Basement
TYPE
7. OF
WORK
L NEW ❑ ALT.
IA,BLD. ❑ PLMB.
❑ AD'N.
❑ MECH.
❑ RPL.
0 M.H.
❑ MVE.
❑ POOL
❑ OTHER
,G'C/
No. Baths No. Stories
3
1860
Storage
Unfin. Basement
No. Fooms
No. of Dwellings
CERTIFICATE
of EXEMPTION
Req'd
DESCRIBE WORK ,+
8. %UL—i% / /10.-4, / , �4-f' /42.
VALUATION
9. / /S tio0
SOURCE
OF
UTILITIES
GAS
Enum. Dist. I Location (Area)
ELECTRIC
i/L'ot ft
WATER
SEWER
Ownership
Public ❑ Private J
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 of presume
to give authority to violate or cancel the provisions of any other state or local law regulating const on or the
performance of construction. SEE REVERSE SIDE FOR REQUIRED INSPECTIONS _
DATE OF APPLICATION /0 , _ SIGNATURE OF APPLICA
SPECIAL APPROVALS
NAME DATE
Enure
Planning
4/1/ e
Fire Marshall
Co. Engineer
Utilities
Plans Examiner
roto PP5-rL n1r to/ YA)
SEPA Checklist
Buildin Technician ems,
SPECIAL CONDITIONS:
Fl-NC-liy-1225 11'F /0-6��0
62o ' /2/14) FLAWk0Ak . Coo
3c PAY PEAlrakca-AcE>
PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
Rec'
Not R@q'd.
FEES COLLECTED
Single $
uiIding 3
Plumbing
Mech.
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL $ 35
PERMIT NUMBER
S DB —zo
02* *35200
*35200
*352006
A *000 8
202.62
10-15-80
2 6479,
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
1 0 4I,7-8 0'
DATE ISSUED
20352.nDTAL�
PERMIT NO..
Coo v.L i t Rao°
$LK 4- NI®G
-->
*)0 2.