1980, 08-28 Permit: 80-9263 AdditionPLAN NUMBER ..
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
JOB DORESS
1 f , 5lS LEGAL DESCRIPTION — SEE ATTACHED
LOT I BLOCK ISUBDIVISION PARCEL NUMBER/S /
2. �- D opa ,el s, I I -?q r4l Al /)I ,h fir, 12,l& 1 d
3.
ADDRESS
APPLICATION/PERMIT
8/ZS/So SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
PHONE
Z�,x-227$
ZIPno ^ Actual Set Backs in Feet
!�
92 .moG, North South V East 35;
C0�13ACZ'pR
PHONE
Size oParcel �
60
Zone Classificat n r I
AmIfG�
�G
tP,1 , �LJ
4.
ADDRESS
ZIP
Type Const.
Occupancy
Spr klered
C
✓`(\f
)d
❑Yes ❑No ❑ Req'd.
DESIGNER
PHONE
Valuation
n Sq. Ft.
Building �aiCCCC //,,
5.
ADDRESS
ZIP
Main Floor Flloo,or
Upper Floors
Garage Area
Storage
r—
CHANGE OF USE FROM
TO
Area of Decks
Finished Basement
Unfin. Basement
6.
—.
/
TYPE 1:1 NEW El ALT. LA'S AD'N. El RPL. El MVE.
No. Baths
No. Stories
No. Rooms
No. of Dwelling
7, OFElOTHER
CERTIFICATE
Req'd.
Recd.
Not
WORK BLD. ❑ PLMB. ❑ MECH. ❑ M.H. ❑ POOL
of EXEMPTION
7cl
!!
DESCRIBE WORK e�
8 15 ff 3� I r�'?� l
Enum. Dist,
I Location (Area)
FEES COLLECTED
VALUATION SOURCE
GAS
ELECTRIC
WA✓JTER
SEWER
Ownership USE CODE
9. UTILOITIES
I,V�
IC--
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 I
regulating construction or the
performance of construction. SEE REVERSES SIDE FOR REQUIRED INSPECTI
Plumbing
DATE OF APPLICATION /1 �–�.�ilS d SIGNATLIRF OF APP(IZ1C
.–���f�/�-
Mech.
PERMIT NUMB€R
So -9z63
x
02* *6800
*6c00 n
*680061
E *000
9262 <
08-2880
6.W9,
SPECIAL APPROVALS
SPECIAL_COI1NDITIONS:
NAME DATE
�' 1V A .��.{d /Ll�/t Plan Check
E ea—It h
SEPA
o
C
Planning
C
Mobile Home
U
Fire Marshall
Other (Specify)
V
Co. Engineer
Utilities
Plans Examiner
ng T hnician PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
TOTAL $
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
°26.3°
DATE ISSUED PERMIT NO.
*68.00° -
TOTAL
A1,1, 1