1980, 10-24 Permit: 80B-2615 ResidencePLAN NUMBER
/Z— /Oyu`
+6/-1 /SO
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
1.
2.
3.
4.
JOB ADDRESS
E.F Itli�l� IVs.
LOT I BLOCK SUBDIVISION l IVISION 0
IS 14it.ctA
PHONE
9?b -873'
ownT0' I l C ELA NI L1.O
ADQ�ESSI II�+I� 4-0-114
cfJI�aG -IS cL��vjf� Gi �'t&r'
ADDRESSL'O C Horn • tt
LEGAL DESCRIPTION - SEE ATTACHED
PARCEL NUMBER/S .7_754-3_ O2_O,
Actual Set ���Bj3 cks in Feet wJ I�
North fes/ (South East ""2-- (West
5.
DESIGNER
PHONE
%26 -zpOl
PHONE
SI a of Parcel I� Zo a Classlficatlgn
ISD X 1 I / I�i'1U//p✓f
Type Const.
V�s
Occupancy Spri lered
3 ❑Yes ONo 0 Req'd.
Valuation ` }
• `/'II� 3 ql�
BuildIT9,4irea In Sq. Ft.
ADDRESS
ZIP
Main Floor
CHANGE OF USE FROM
6.
TYPE
7. OF
WORK
TO
Area of Decks
Finished 8
Garage_ -2
Base ent
Storage
Un in. Basement
L7 NNEW 0 ALT. 0 AD N. 0 RPL. 0 MVE.
V BLD. 0 PLMB 0 MECH. 0 M.H. 0 POOL
❑ OTHER
No. Baths
..3
No. Stories
No. Rooms
No. of pwellings
CERTIFICATE
of EXEMPTION
Req'd.
Recd.
Not Fifq'd.
8.
DESCRIBE WORK,
, I/ `•Acgmt
Enum. Dist.
Location (Area)
VALUATION
9.
SOURCE
OF
UTILITIES
GAS
ELECTRIC
WATER
SEWER
Ownership
Public 0 Private
,USE CODE
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.tifSEE13.191
REVERSE SIDE FOR REQUIRED INSPECTIONS �/ ////
DATE OF APPLICATION `i —r /L3 1 COlit/ SIGNATURE OF APPLICANT Rf gnf.C7flt.d litlf/A
SPECIAL APPROVALS SPECIAL CONDITIONS
cof�o-(
L-kC{— r� I✓s-G�o3rxp 3/2.6�SI
NAME DATE
En
Heyt
e� �6
Planning
Fire Marshall
Co. e=r
Utilities
Plans Examine
/fi
5
lel
SEPA Checklist
ian
PERMIT IS NONTRANSFERABLE
FEES COLLECTED
Single $ -
Building
Plumbing
Mech.
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL $
PERMIT RUMBEF+
g aCo IS
02* *32800
*32800
*32.00e)
A *Q00 8
261.48
10=20-80
2 6,479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
110''- 2+41=8•'0) 2.6'15 25 43.28,0,02.1-2
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL
00
O
LiJ
J
i°
//!
33
„94'
rf
,.c lc -7)"
Fr;
— vice
' N; ‘,
4y,-40., L) F G aa..
387 7 ,,:;�o=/=,:r—r
So 13
r_So�-
i
l Licyo...4or'7 . t. 1.oeR 5
_.Nt'L1.ctp"sr./feEs c2,vD 400.
ic1/92tdZL1,275-' 8 -« °7
Pkor Pt+c)rir Q/4%
Sc:,9 . "
' - �? �`-011o/13 / hyo.