1980, 12-09 Permit: 80B-4654 Cover DeckPLAN NUMBER,
APPLICATION/PERMIT
SPOKANE COUNTY - BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (5)39) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3,COPIES
JOB ADDRESS
1. /J .3 to /s
LEGAL DESCRIPTION — SEE ATTACHED
LOT
2.
BLOCK
SUBDIVISI
4.
NlMiLQ "lr�'�V /A.P
ADDRESS'/
36 /i5-r.+�J r, t s�Cl �12D 4.r,P
CO TRACTOR
,Clirtif�-
AQDRESS
DESIGNER
5. ADDRESS
PHONE
9
PARCEL NUMBER/SD/ . - j3 /0 -G -.2 Q9
�343.4,KK �.3 E xc. ,v. '
ORe_1.1ARD AVE ADD/T/DN
ZIP
99-20 6
Actual Set Backs in Feet
North 'South
East 'West
PHONE
ZIP
Type Const. --
Zone Classification
Occupancy Sprinklered
Size of Parcel
•
/67 /G7
❑Yes ❑No 0 Req'd.
PHONE
ZIP
Valuation G
Main Floor
Building Area in Sq. Ft.
961 'PECK 74 COi66R
Upper Floors Garage Area
Storage
CHANGE OF USE FROM
6.
TO
Area of Decks
Finished Basement
Unfin. Basement
7.
TYPE
OF,
WORK
O NEW
O BLD.
❑ ALT. 0 AD N. 0 RPL.
❑ PLMB. 0 MEC Fj,.t
DESCRIBEjxdORK , n
VALUATI9D1. SOURCE GAS LECTRIC WATER
—(J �CJr OF
02FOO •'
, OUTILITIES
❑ MVE.
❑ POOL
OTHER
No. Baths
No. Stories
/
No. Rooms
No. of Dwellings
CERTIFICATE
of EXEMPTION
Req'd.
Rec'd.,
Not Req'd.
Enum. Dist.
ILocation (Area)
SEWER
Ownership
Public 0 Private E
USE CODE
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 INSPECTIONS
DATE OF APPLICATION /2-9
SIGNATURE OF APPLICANT )-:C))"1L .7)G{M t/l/.-1i
SPECIAL APPROVALS
NAME DATE
Env. Health
Planning
Fire Marshall
Co. Engineer
Utilities
Plans Examiner
SEPA Checklist
Bui ing ech ician
0./aZ:;e1—,
SPECIAL CONDITIONS:
L' G*1)-e+ 0-11(.0' 1
-PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
FEES COLLECTED
Single
Building
Plumbing
Mech.
Plan Check
SEPA
Mobile Home
iik/l/AES'/c
Other (Specify)
D4
TOTAL $'7 to
DQ
PERMIT NUMBER
"gam-
�
024 *71600
*76.00
*7'6.006
*0,00
4.65,3@
.12H09'-80
° 647'9.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
,1.,2 G i !e X01
DATE ISSUED -
41.6 ,5.`:4'Z!'
6.-0 0 a1 -..-
PERMIT NO. TOTAL
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