1980, 08-29 Permit: 80-9304 Additionwmave u nen.' rnm■ N
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
/BOKt75N,
/��-
V6VIS(O
2.
LEGAL DESCRIPTION - SEE ATTACHED
3.
4.
5.
OWNER
eh-,
AD RESS
71. 2 4e6-2 (.>otiTt�f,'' bdif
PHONE
7:4-77,1=2
ZIP
PARCEL NUMBER/S !) 7S 4' 2 _/.tiLy
rRAcr Cz Exc. N. 95' 01 ca vNORs sub OP
.O4/CS /4—/ 7 a sarRle RY su6U,eB4N Notas
ARO
Actual Set Backs in Feet
Nortn.T % 'South,
/
East
Iwest f n /
PHONE
Size of Parcel
moi- rt C R.0
ADDRESS
DESIGNER
ZIP
Type Const.
Occupancy
Zone Classification
7 Sprinklered
Yes 0No 0 Req'd.
PHONE
Valuation
4, D'°
Building Area in Sq. Ft.
41$4
ADDRESS
ZIP
Main Floor
Upper Floors Garage Area
486 /
Storage
CHANGE OF USE FROM
6.
TO
TYPE 0 NEW 0 ALT. AD N. 0 RPL.
7. OF
WORK ❑ BLD. 0 PLMB. 0 MECH. 0 M.H.
0 MVE.
0 POOL
0 OTHER
Area of Decks
-/
17
Finished Basement
No. Bathsr No. Stories
Unfin. Basement
1kti
No. Rooms No. of Dwellings
i
CERTIFICATE
of EXEMPTION
Req'd.
Rec'd.
Not Req'd.
DESCRIE WORK po'A
8. oitele.7,. t—fjt//1 ci14c J', `d4
VALUATION SOURCE I / GAS (ELECTRIC
I OF
9.
UTILITIES
Enum. Dist. 'Location (Area)
ATER
SEWER
Ownership I
Public IDr�
Private `Y
USE CODE
I hereby certify'that I have read and examined this application and have read the "NOTICE" provisions included
on reverse sidc),`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 Ibcal law regulating construction or the
performance c-f;construction. SEE REVERSE SIDE FOR REQUIRED INSPECTION, r
DATE OF APPLICATION X " Ifn
SIGNATURE OF APPLICAN,
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE
Fire Marsha
Co. Engineer
Utilities
Plans Examiner
SEPA Check!
Bu{Iding Tec
niaanf
PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
FEES COLLECTED
Single
Building
Plumbing
Meck
Plan Check
SEPA SEPA
Mobile Home
Other (Specify)
Q
TOTAL $ �v D
02* *5000
*5000
*50006
E *000 3
9281
08=28'180
6479
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
'0,842.914.81'01
9344'55*5.0.002 -
DATE ISSUED , PERMIT NO. TOTAL
Ell r PADV
J