1980, 12-11 Permit: 80B-4772 AdditionJOB ADDR
�. 7
LOT B
2.
3. ADDRESSF
4.
DESIGNER
5. ADDRESS
APPLICATION/PERMIT
—� SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
APPLICANT:
f" B
COMPLETE NUMBERED SPACES — PRESS
HARD TO MAKE 3 COPIES
Area of Decks
Finished Basement
LEGAL DESCRIPTION — SEE ATTACHED
DIVISION
RCEL NUMBER/S Q�J�
PHONE
ORCHARD AV -6 ADD
No. Baths
No.
ZIP
jNorth
tual Set Backs in Feet j
No. of Dwellings
TYPE l4 NEW ❑ ALT.
� South
East 39 West
/
J
PHONE
e of Parcel
Zone Glassificati n
CERTIFICATE
Req'd.
Recd.
x /D8
ccL
of EXEMPTION
ZIP
ype Const.
Occupancy
Sprinklered
Enum. Dist.
ILocation (Area)
FEES COLLECTED
❑Yes ❑No ❑ Req'd.
PHONE
uation
Building Area in Sq. Ft.
/
/ ` _
D
ZIP
Main Illoor
Upper Floors
Garage Area
Storage
CHANGE OF USE FROM
TO
Area of Decks
Finished Basement
Un In. asem6-
6
No. Baths
No.
Stories
No. Rooms
No. of Dwellings
TYPE l4 NEW ❑ ALT.
D4 AD'N. ❑ RPL. ❑ MV E.
--
/
J
�, OF
El BLD. 1:1PLMB.
OTHER
ElMECH. ElM.H. El POOL
CERTIFICATE
Req'd.
Recd.
Not Req'd.
WORK
of EXEMPTION
DESC I WORK
Enum. Dist.
ILocation (Area)
FEES COLLECTED
8. 0-t—' -L-F ,.,-
VALUATION SOUR GAS ELECTRIC WATER SEWER Ownership USE CODE
41e6 UTILOITIES Public ❑ Private Single $
1 hereby certify that I have read and examined this application and have read the "NOTICE" provisions included - .00
on reverse side, and know the same to be true and correct. All provisions of laws and ordinances governing this Buildings
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 Plumbing
e
DATE OF APPLICATION—�Q SIGNATURE OF APPLICANT Mech.
SPECIAL APPROVALS
NAME DATE
En Ith
h
Planning
Fire Marshall
Co. Engineer
Utilities
Plans Examiner
SPECIAL CONDITIONS:
)ician I� --yy``' � PERMIT IS NONTRANSFERABLE
J,�(/2,Z,6 L� PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
Plan Check
SEPA
Mobile Home
b
Other (Specify)g
lIJV�IC-r/#T�DKI �D
TOTAL y—
PLHMIT NUMtM
02* *7600
*7E 00
477, 1 22
1211-80
6479
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
477.22.
DATE ISSUED PERMIT NO.
#76 &I, -
TOTAL
.5 77A2L-
L�