1980, 11-05 Permit: 80B-3269 DamperPLA" NUMBER 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
LEGAL DESCRIPTION — SEE ATTACHED
2.
LOT , BLOCK jSUBDIV1-S1-5N PARCEL NUMBER/S
L�ji�5 c .
O� P/ Or O
3. � ONE
�-(-��
VALUATION I SOURCE GAS ELECTRIC ATER SEWER
Ownership USE CODE
9. UTILOITIES Public ❑ Private ❑ Single $
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 Building
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 Plumbing
J
DATE OF APPLICATION / SIGNATURE OF APPLICANT /��/' '% Mech:
SPECIAL APPROVALS
NAME DATE
lealth
ng
neer
Utilities
Plans Examiner
SPECIAL CONDITIONS:
ci PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE -
Plan Check
SEPA
Mobile Home
Other (Specify).
TOTAL $ V. CQ
P94
ERMIT NUMBER
14JFd 3'---3.. & �
0 4* *7.00
* 7.0:0
*7.0,0
A *0.00
326.82
01 1 5-8,0
WHEN MACHINE. VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
DATE ISSUED PERMIT NO.
CL
CL
0
U
W
J
11.
* 7 0,'0 a 1---.".
TOTAL
a
ADRI S� L
C
Zlp �,7O
Actual Set Backs in Feet
North
CQPJ,TRACTOR� G��
- V_
PHONE
z
� r�/ 0. -
South
Size. of Parcel
East West
Zone Classification
4'6t-4vL
A ESSZI
—116.
-
4
Type Const.
occupancy
. Sprinklered
Z7 1.1;2 .�Gr�^-
/ /(D
I
❑Yes ❑No ❑ Req'd.
DESIGNER
PHONE
Valuation
Building Area in Sq. Ft.
5.
ADDRESS
ZIP
Main Floor
Upper Floors
Garage Area
Storage
CHANGE OF USE FROM
Area of Decks
Finished Basement
Unfin. Basement
6.
,.To
TYPE ❑ NEW ALT. 1:1 AD'N. ElRPL. El MVE.
No. Baths
No. Stories
No. Rooms
No. of Dwellings
7.
OFD OTHER
❑ BLD. ElPLMB. IJ MECH. ❑ M.H. ❑ POOL
CERTIFICATE
Req'd.
Recd.
Not Req'd.
WORK
of EXEMPTION
8
Enum. Dist. Location (Area)
FEES COLLECTED
VALUATION I SOURCE GAS ELECTRIC ATER SEWER
Ownership USE CODE
9. UTILOITIES Public ❑ Private ❑ Single $
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 Building
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 Plumbing
J
DATE OF APPLICATION / SIGNATURE OF APPLICANT /��/' '% Mech:
SPECIAL APPROVALS
NAME DATE
lealth
ng
neer
Utilities
Plans Examiner
SPECIAL CONDITIONS:
ci PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE -
Plan Check
SEPA
Mobile Home
Other (Specify).
TOTAL $ V. CQ
P94
ERMIT NUMBER
14JFd 3'---3.. & �
0 4* *7.00
* 7.0:0
*7.0,0
A *0.00
326.82
01 1 5-8,0
WHEN MACHINE. VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
DATE ISSUED PERMIT NO.
CL
CL
0
U
W
J
11.
* 7 0,'0 a 1---.".
TOTAL
a