1980, 06-18 Permit: 80-5926 Soffit, FasciaPLAN 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 ADDRESS 71
DD% �� f_��� LEGAL DESCRIPTION — SEE ATTACHED
LOT I BLOCK ISUBDIVISION PARCEL NUMBER/S 17,541- IA03
2.3 64 0MIjAkJV
OW R
-::S-0Pq.,)6,
AONE
OU
17 5-- lZa3
,
3.
No. of Dwellings
TYPENo.
❑ NEW ❑ALT. ❑ AD'N. ❑ RPL. ❑ MVE.
ADDRESS-'
ZIP
Actual Set Backs in Feet
JaYrn-P--
7, OF 7`OTHER
North South East West
CON��jT;�nRAgC�TOR j
PHONE �(¢
Size of Parcel
Zone Classification
CERTIFICATE
Req'd.
Recd.
4. ADDRESS
ZQLP
Type Const.
Occupancy
Sprinklered
(
ci f 8 Y O C
7!
p �p
DE RIBE WOR
Enum. Dist.
❑Yes []No El Req'd.
DESIGNER
PHONE
Valuation
Building Area in Sq. Ft.
5.
�,0:VALUVJ6N
SOURCE
GAS
ADDRESS
ZIP
Main Floor
I Upper Floors
Garage Area
I Storage
CHANGE OF USE FROM TO Area of Decks Finished Basement Unfin. Basement
6.
SPECIAL APPROVALS
NAME DATE
Env. Health
Planning
Fire Marshall
Co. Engineer
ns Examiner
ing yechnic
SPECIAL CONDITIONS:
Plan Check
r
PERMIT NUMBER
go - 55�7
@057-*1440YM
06-18-80
6.479,
SEPA I a
c
C
Mobile Home I u
LL
Other (Specify) -9 —Ci:—
TOTAL $�50
—
WHEN MACHINE VALIDATED IN THIS _SPACE,
THIS BECOMES A PERMIT. z
0 F
PERMIT IS NONTRANSFERABI 9 2.6
Baths
No. Stories
No. Rooms
No. of Dwellings
TYPENo.
❑ NEW ❑ALT. ❑ AD'N. ❑ RPL. ❑ MVE.
7, OF 7`OTHER
WORK ❑BLD. ❑ PLMB. ❑ MECH. ❑ M.H. ❑POOL<Pya
CERTIFICATE
Req'd.
Recd.
Not Req'd.
Y
of EXEMPTION
DE RIBE WOR
Enum. Dist.
Location (Area)
FEES COLLECTED
8.
�,0:VALUVJ6N
SOURCE
GAS
ELECTRIC
WATER
SEWER
Ownership
USE CODE
9. m
OF
UTILITIES
I
I
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 e
performance of construction. SEE REVERSE SIDE FOR REQUIRED INSPECTIONS
Plumbing
DATE OF APPLICATION !� SIGNATURE OF APPLICANT
Mech.
SPECIAL APPROVALS
NAME DATE
Env. Health
Planning
Fire Marshall
Co. Engineer
ns Examiner
ing yechnic
SPECIAL CONDITIONS:
Plan Check
r
PERMIT NUMBER
go - 55�7
@057-*1440YM
06-18-80
6.479,
SEPA I a
c
C
Mobile Home I u
LL
Other (Specify) -9 —Ci:—
TOTAL $�50
—
WHEN MACHINE VALIDATED IN THIS _SPACE,
THIS BECOMES A PERMIT. z
0 F
PERMIT IS NONTRANSFERABI 9 2.6