1980, 10-23 Permit: 80B-2531 Special InspectionPLAN NUMBER MIT NUMBER
APPLICATION/PERMIT
PER
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 JOB ADD E? -S ,
SS
Z L LEGAL DESCRIPTION -SEE ATTACHED
2
LO
K B ION � ���/� PARCEL NUMBER/5
-.._._L� /7�"%/-0 7®i
ADDRESS ZIP Actual Set Backs in Feet
29 Z,6 North South East West
CONTRACTOR PF40NE Size of Parcel Zone Classification
4. ADDRESS ZIP Type C;n7 Occupancy Sprinklered
❑Yes ❑No ❑ Req'd.
DESIGNER PHONE Valuation Building Area in Sq. Ft.
5' ADDRESS ZIP Main Floor Upper Floors Garage Area Storage
CHANGE OF USE FROM TO Area of Decks Finished Basement Unfin. Basement
TYPE NEW ❑ALT. 1-1 AD -N. 1:1 RPL. MVE.
6.
No. Baths No. Stories No. Rooms No. of Dwellings
❑❑
% OF WORK El BLD. �PLMB. ❑ MECH. ❑ M.H. El OTHER
❑ CERTIFICATE Req'd. I Req'd. Not Req'd.
of EXEMPTION
DESCRIBE WORK Enum. Dist. Location (Area)
FEES COLLECTED
8.
VALUATION SOUFtE GAS ELECTRI WATER SEWER Ownership USE CODE
9 1UTILITIEOS Public El 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
NAME DATE
-nv. Health
Manning
Fire Marshall
Co. Engineer
Utilities
Plans Examiner
SEPA Checklist
SPECIAL CON (TIONS:
Te an PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
Plan Check
SEPA
Mobile Home
Other (Specify) . Q�
TOTAL $ CJ,00_
rN
* *800
*K00�
r�. k 0. 2
2 3 1, 1
10-20-80
6.Q?9,
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
10�°i23=80" 2'S 3.10
DATE ISSUED PERMIT NO.
*8,0.0 °�
TOTA L
0
C
C
i Ykx ,
SPOKANE COUNTY - BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 4563675
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES 4 0
JOB ADD ESS �� / LEGAL DESCRIPTION — SEE ATTACHED * 8 0.0
�• f
V ION L � L � ��� PARCEL NUMBER/5 —O �D� * 8, Q Q v'
2. /% �'I A *,GOO S
��)u&��
ADDRESS
CONTRACTOR
4' ADDRESS
DESIGNER
5' ADDRESS
CHANGE OF USE FROM'
P ONE
qZ
Z' 3 23t1;-9
IP Actual Set Backs in Feet
29 ze North South East west 10-20-80
PF40NE Size of Parcel Zone Classification
6479..
ZIP Type Const. Occupancy Sprinklered
PHONE
ZIP ' Main Floor Upper F
TYPE ❑ NEW ❑ ALT. ❑ AD -N. ❑ RPL ❑ MVE.
;•OF C3 BLD. ❑ ❑ OTHER
WORK BLD. tPLMB. ❑ MECH. M.H. POOL
RK
No. Baths No. Stor
CERTIFICATE
of EXEMPTION
Enum. Dist. Location
rcc� w�cccrcu
R WATER SEWER Ownership USE CODE` t
9. UTILOITIES Public El Private ❑ Single $ ~
z :f
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 Building
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. SEE REVERSE SIDE FOR REQUIRED INSPECTIONS Plumbing
DATE OF APPLICATION SIGNATURE OF APPLICANT Mech.
SPECIAL APPROVALS
NAME DATE
V
Planning
Fire
Co.
ans
n
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT. ._
PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO.