1980, 09-03 Permit: 80-9313 AdditionPLAN NUMBER •'
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
LO r
DRESS
OC6
eft-)
4.
CO n1Ld ACTOR
A5 • ESS '
C)� 9Z-;
DESIGNER
5.AaJna>l%y,r4Oz,
ADORES
4
> aced,
r�'c
,Asitty
PHONE
ZIP
PHONE
9;706
LEGAL DESCRIPTION — SEE ATTACHED
PARCELNUMBER/S c�s/�_ jOva•
Actual SetBacks In Feet
North X8'6 "'South D5/ `East 33 ' 'West- 69
Size of Parcel
ioa on l{
Type Const. I Occupancy
v-nl R-3
Zon lassiflca
Spr non
/% 4
kle d
Dyes CNo D Req'd.
PHONE
V aluatlpn
ZIP
Main Floor
CHANGE OF USE FROM
6.
TO
er F
UD _ p ors
Building Area in Sq. Ft.
r,car6"•
Garage Area Storage
Area of Decks TFini ed Basement
Unfin. Basement
TYPE
7. OF
WORK
LJ NEW
0 BLD.
O ALT.
O PLMB.
CJ AD N.
0 MECH.
O RPL.
O M.H.
O MVE.
O POOL
0 OTHER
No. Baths
No. Stories
No. Rooms
No. of Dwellings
CERTIFICATE
of EXEMPTION
Req'd.
Re M.
Not Req'd.
c WO
8.
a-lM'GQ/
Enum. Dist.
Location (Area)
ice. /ALUATION
9 /307/13
SOURCE
OF
UTILITIES
GAS
ELECTRIC /1 WATER
SEW
Ownership -
Public D Private 0
USE CODE
I herby certify that I have read and examined this application and have read the "NOTICE" provisions included
type of work will be complied with whether specified herein or not. The gran
on reverse side, and know the same to be true and correct. All provisions of la
js and ordinances governing this
1g of a permit does not presume
to give authority to violate or cancel the provisions of any other state or local w regulating c truction or the
performance of construction.
SEE REVERSE SIDE FOR REQUIRED INSPECT,o%'NS ///J'
DATE OF APPLICATION J — 9 S CJ () SIGNATURE OF APPLICA �" 1��;�/A�
SPECIAL APPROVALS
NAME DATE
Env
Fire Marshall
Co. Enginee
Utilities
Plans Examiner
SEPA Check
SPECIAL CONDITIONS:
Gal (Y�h C vel IW '4OJ f2 coy' ( if
f71 -141e struct•U 0Nit
• PERMIT IS NONTRANSFERABLE
. PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
FEES COLLECTED
Single $
�b-
Building , f' -[I7)
Plumbing
Mech.
Plan Check
SEPA
Mobile Horne
Other (Specify) //o
TOTAL
PERMIT NUMBED
L•
02* *5600
* 5600
* 5.6006
*Q00
A
. 90828
08 "25-'8,0
6479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
!OrQ;C,O;$i't 8!'0!
DATE ISSUED
9..51,3' z i15'6 0 0
PERMIT NO.
TOTAL
TOTAL
1
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0
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ro/c)CPI
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