1980, 06-02 Permit: 80-5206 Addition, Renewal of N0609PLAN 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
1. C• 131o4 I4GQJD'4
LEGAL DESCRIPTION - SEE ATTACHED
LOT
2.
BLOCK
SUBDIVISION
OWNER
3. LeWEc-L,
ADDRESS
E • i3 -7O4
CONTRACTOR
• ern E
ADDRESS
S ricin C
DESIGNER
4.
5.
S K.0-c-rJ
He2ou
PHONE
C(24,-7zgz
PARCEL NUMBER/S 1 t ' Y o.6Of o F N • Wast O r
S: LSO' o F Y .jcic�rb7 �Y4. 5• o r Mcetov
-tfn>-v'(ao0 oczu-wraoS
'Pm.) . 0354 - 0664.
ZIP
gcrz4c.
Actual Set Backs in Feet
North • 'South
East 'West
PHONE
Size of Parcel
qox lit•
ZIP
Type Const.
O cc panty
Zone Classification
2yC MC-'ru RAC
Sprinklered
❑Yes ❑No ❑ Req'd.
PHONE
Valuation
Building Area in Sq. Ft.
I010
ADDRESS
ZIP
Main Floor
Upper Floors 1 Garage Area
%S6
Storage
Z6o
CHANGE OF USE FROM
6.
TO
Area of Oecks
Finished Basement
Unfin. Basement
TYPE
7. OF
WOR
8.11r,
❑ NEW ❑ ALT. ❑ AD N.
9.
0 RPL.
BLD. 0 PLMB. 0 MECH. 0 M.H.
RIBE WORK
IAP 1Ecosc
VALUATION
4 CZAr2PCatE
SOURCE
OF
UTILITIES
GAS
❑ MVE.
❑ POOL
.17.241/435.-salaa.-
g OTHER
No. Baths
No. Stories
No. Rooms
No. of Dwellings
CERTIFICATE
of EXEMPTION
Enum. Dist.
Location (Area)
R eq'd.
ELECTRIC
WATER -
SEWER
Sea T. -
Ownership
Public 0 Private eir
USE CODE
I hereby certify that 1 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. SEE REVERSE SIDE FOR REQUIRED INSPECTIONS
DATE OF APPLICATION 6 -2- - PO SIGNATURE OF APPLICANT -54,2e- 1
SPECIAL APPROVALS
NAME DATE
Env. Health
arming
Fire Marshall
CO. Engineer
Utilities
Plans Examiner
SEPA Checklist
Biyld TechnIcian•
SPECIAL CONDITIONS:
IR• ENCLe1iL of /J. OC000(
PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
Rec'd.
Not Rebid.
tl
FEES COLLECTED
Single
Building
Plumbing
Mech.
Plan Check
SEPA
Mobile Home
N E V A1 -x43;00
Other (Specify)
TOTAL
$ 43 . o0
PERMIT NUMBER
?JO _ 52c26
.02* *.4300
*4300 Li
*4300'6
B *Q00
52Q3R
06-02-80
2- .6479. • .
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
061„ 0,2:-i8'0
DATE ISSUED
5.210.65 *4A00..2
PERMIT NO.
TOTAL
O
U
W