1980, 08-12 Permit: 80-8398 MHi
PLAN NUMBER
• "j ef6e/8o
APPLICATION/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
JOB ADDRES
1. Ej e 752 2 c Y4 `—t COI—Let /8727_
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rfrikter
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5.
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ADDRESS
DESIGNER
ADDRESS
PHONE
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LEGAL DESCRIPTION - SEE ATTACHED
PARCEL NUMBER/S r114 • 0855 - „`
Actual Set �Backs in Feet 10c 11
Northam '° ISouth ' 1East 'West 51
PHONE
ZIP
PHONE
ZIP
Size of Parcel
I Zone Cla
sificati—
Type Const. Occupancy Sp Inkleredl/PEes ENo•7'ER
eqr'
d.
Valuatio
0O6
Main Flobr
Builtlin1 40 Ar Sq. Ft.
Upper Floors 1 Garage Area
Storage
CHANGE OF USE FROM
6.
TYPE
7. OF
WORK
TO
Area of Decks
Finished Basement
Unfin. Basement
II NEW 0 ALT. 0 AD'N. 0 RPL. E MVE.
0 BLD. 0 PLMB. 0 MECH. /M.H. 0 POOL
0 OTHER
No. Baths
No. Stories
No. Rooms
No. of Dwellings
CERTIFICATE
of EXEMPTION
Redid.
Rec'd.
Nol,ered.
DESCRIBE WORK
MDbi LF`i
VALUATION
9.
('-ebx cv0)
Enum. Dist.
Location (Area)
SOURCE
OF
UTILITIES
GAS
ELECTRIC
�yWA�TER
cc.l'Il,/�-
SEWER
11"1-16
Ownership USE CODE
Public ❑Private
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
to give authority to violate or cancel the provisions of any other state or local law regulating nstruction or the
performance of constructio/�n... SEE REVERSE SIDE FOR REQUIRED INSPECT NS
DATE OF APPLICATION `, 1 t ' �O SIGNATURE OF AP
SPECIAL APPROVALS
NAME DATE
Env. Health
Planning
Fire Marshall
Co. Engineer
Utilities
Plans Examiner
SEPA Checklist
ilding T niclan
e 1
SPECIAL CONDITIONS:
` no h(zty 4eet
PERMIT IS NONTRANSFERABLE
FEES COLLECTED
Single $
Building
Plumbing '
Mech.
Plan Check
SEPA
Mobile Home 100
Other (Specify)
TOTAL $
PERMIT NUMBER J•
07* *'100.'00
.*to.0.00 N
*1 00.006
A *00.0 S
8:3802
0'8-11-80
2 61179.
w)
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
018�'a12`-'8�0' 839.8 z 1,1'0 0.0.0 ° F -
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL
W1
- ' Q
1 OT 16 COACH -L ITE
C7 ESTATES
1
GRACE COUK-I -
53.: 0'
37' TO CURBCAPPROX.
30' TO PROP. UNE
CENTER Or
0'
60
Y
30.00'
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CO
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