1980, 05-07 Permit: 80-4434 Remodel Shed7
PLAN NUMBERC� �/• 7
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
2
X80af
■BD VI o
LEGAL DESCRIPTION - SEE ATTACHED
3 j ALJ c'2 JadL i1LC{
ADDR� SS- �/
.IP 0, /1/439 xeria&e.cu
CQNTRAC R
4.. 4./ ,
ApDRESS
S_ilJ.d/Wl.E.
PHONE
Q.2Ai- ago
ZIP
PHONE
PHONE
PARCEL NUMBER/S
kJ{ if/E2 6/wa TRACT
.CSACoAt/S AOn •To Q4'HENACRES
Actual Set 'Backs in FeetC(�1
neigNorth (South LEast ! (West
Size of Parcel 1 Zone Classification
ZIP
Type Cons
Occupancy
Sprin klere l
Oyes ONo O Req'd.
DESIGNER
6. ADDRESS
PHONE
luati 0Building�ea 19Sq. Ft.
// D D fl
ZIP
Main Floor
Alcov
Upper Floors Garage Area Storage
4/010 /F-a44vo'
CHANGE OF USE FROM
6.
TO
Area of Decks
Finished Basement Unfin. Basemen
TYPE
7. OF
WORK
O NEW
❑ BLD.
0 ALT.
❑ PLMB.
O AD N.
O MECH.
O RPL.
O M.H.
❑ MVE.
O POOL
0 OTHER
No. Baths
No. Stories
No. Rooms
7
No. of Dwelling
CERTIFICATE
of EXEMPTION
Req'd.
Recd
Not Req'd.
SCRIBE WORK
`�4, VALUATION SOUfiCE
9( l� Q d_sta, UTILLIITIES
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 INSPErjf S
/ 1 44C V�
5 ELECTRIC W TER SEWE
Enum. Dist.
Location (Area)
Ownership
Public 0 Private ct
USE CODE
DATE OF APPLICATION 5 7 SIGNATURE OF APPLICAN
SPECIAL APPROVALS
NAME DATE
E/y{���vt. Health
b-4146l'A/i% -5-7-80
Planning
Fire Marshall
Co. Eng l nee
Utilities
Plans Examiner
SEPA Checklist
Bu ding Tec nicia
efrAirk
SPECIAL. CONDITIONS:
42
-kpt.Lia / .1Ct4tat / e z(.%flax
1-01-. ,, /a
41 ateica2.4,act. c-g-S�
PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
FEES COLLECTED
Single $
Building ei6�
Plumbing
Mech.
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL
$6.
PER%LT NUMBER
02* *2650
* 2650 135
* 26508
E • *0.00 S
4433E
0507-80
B 6479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT. •
t.t5 t07:Y8:0 4'45.4 *.2:6.5 0;2.1
DATE ISSUED PERMIT NO. TOTAL
21
01N
EX 1.57/Na
REsiobwcz
APP.
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