1980, 10-29 Permit: 80B-2892 RemodelAPPLICATION/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
J B
ADDRESS .�
dicte
1. � JG SON
LOT I BLOCK (SUBDIVISION
2 Il
LEGAL DESCRIPTION - SEE ATTACHED
3.
)DDRESS QQ��
. /> /CIL- � )c -d. d.
CONTR fCTO,i
"Letfrie../ezizacti_72.,
RE y� 7-
Hg7J
DESIGNER
5' ADDRESS
6.
PHONE
9.Z
ZIP
4920 t
PHONE
PARCEL NUMBER/S
Nt her o to K
,i41/4)La/4
Actual Set Backs in Feet
North (South
Size of Parcel
East
ZIP
9gz//
PHONE
CHANGE OF USE FROM
ZIP
T
Type Const. 1 Occupancy
Valuation Building Area in Sq. Ft.
3/5 :Td fi EM�I��A
Main Floor ( Upper Floors Garage Area I Storage
Area of Decks I Finished Basement I Unfin. Basement
Zone ClassifiiccatiQQn
AU��J l�NA�I'1J.
SI*inklered
❑Yes ❑No ❑ Req'd.
TYPE
7. OF
WORK
8.
❑ NEW
❑ BLD.
DF CRIBE WORK
VALUATI 431
`336 Do
❑ ALT.
❑ PLMB.
❑ AD'N.
❑ MECH.
❑ RPL. ❑ MVE.
❑ M_ 0 PO L
20 OTHER
No. Baths No. Stories
CERTIFICATE/
of EXEMPTION
No. Rooms INo. of Dwellings
Req'd.
,de2,6L4644.<57_,
SOURCE GAS ELECTRIC
OF
UTILITIES
WATER I SEWER
Enum. Dist. I Location (Area)
Ownership USE CODE
Public 0 Private 0
1 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/D — 1 - g�
SPECIAL APPROVALS
/1 NAME DATE
Env. Meal
Planning
rzP, �o/g
Fire Marshall
Co. Engineer
Utilities
Plans Examine
SEPA Checklis
uAding
n
BA(4 441aOC r )
SIGNATURE OF APPLICANT
SPECIAL CONDITIONS:
Ega,vi : u. - Q ., e7AciLeAL
Jt -•)ya,de
PERMIT IS NONTRANS ERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
Recd. (Not Req'd.
FEES COLLECTED
Single
Building
Plumbing
Mech.
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL $ ;1714
PERMIT,NLIMBER
8c7 2
02* *44,00
* 4400 n
* 44,00
A *0.00
28002
10-28-80
2 6.479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
10--29.-80 289.10 *4400iF-
nATF (SSI icn