1980, 10-24 Permit: 80B-2669 DemolitionPLAN NUMBER APPLICATION/ PERMIT
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
/ NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
`-1 APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3 COPIES
JOB ADDRESS
�.
LEGAL DESCRIPTION - SEE ATTACHED
a, 2Y
LOT I BLOCK SUBDIVISION PARCEL NUMBER/S
2.//—/Z % i T
OWNER
PHONE
3. P' 2 12,184C40
ADDRESS
ZIP
Actual Set Backs in Feet
/�
9, e16
North South
East West
CONTRACTOR
PHONE
Size of Parcel
Zone Classification
r5'
4
ADDRESS
ZIP
Type Const.
Occupancy
Sprinklered
.SOI"�/'s
❑Yes ❑No ❑ Req'd.
DESIGNER
PHONE
ValuAffonBuilding
Again Sq. Ft.
5. ADDRESS
ZIP
M/aain��Floor
Upper Floors
Garage Area
Storage
I
CHANGE OF USE FROM
TO
Area of Decks
Finished Basement
Unfin. Basement
6.
No. Baths
No. Stories
No. Rooms
No. of Dwellings
TYPE ❑ NEW ❑ ALT. ❑ AD'N. ❑ RPL. ❑ MVE.
I
�(/
7, OF YJ OTHER
El BLD. ElPLMB. ❑ MECH. ❑ M.H. ❑ POOL
CERTIFICATE
Req'd.
Recd.
Not Req'd.
WORK
of EXEMPTION 1
I
i✓
DESCRIBE WORK
Enum. Dist. Location (Area)
FEES COLLECTED
8 %7 i psi
VALUATION
SOURCE
GAS
ELECTRIC
WATER
SEWER
Ownership
USE CODE
94 11--0, 9�
I UTILOITIES
Public ❑ Private ❑
Single $
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 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
DATE OF APPLICATION SIGNATURE OF APPLICANT
Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE
Planning
Fire Marshall
Co. Engineer
Utilities
Plans Examiner
SEPA Checklist
Building.Technician
la
PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
Plan Check
SEPA
Mobile Home
Other (Specify) 00` `' in
DF, -40-
TOTAL $ CIO
WHEN MACHINE VALIDATED IN THIS
THIS BECOMES A PERMIT.
PERMIT NUMBER
eoi3-2(er,�,0/
E,
1.01-x.2,, 4` - 4 01 2' 6 6.9 z *`l 0.0, 0 a -` -
DATE ISSUED PERMIT NO. TOTAL