1980, 07-28 Permit: 80-7808 Residence'PLAN NUMBER
-7
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.
JOB ADDRESS
E. 16508 Heroy
LOT S DIVISION
Peplinski First
2. 17
BLOCK
1
LEGAL DESCRIPTION — SEE ATTACHED
OWNER
3, Genie Homes. Inc.
ADDRESS
P.O. Box 14410
PHONE
928-6090
PARCEL NUMBER/S
Portion of 01541-9004
Spokane, Wn.
ZI P
99214
Actual Set Backs In Feet
North 'Z O'South
CONTRACTOR
Same
PHONE
Size of Parcel
140' X 90'
East .. 'West Z /7
1 Zone Class fication
Single family
ADDRESS
ZIP
Type Const.
Occupancy
Sprinklered
❑Yes 0No 0 Req'd.
5.
DESIGNER
PHONE
Valuation
39-- 1J
ADDRESS
ZIP
Main Floor Upper Floors
1016
Building Area in Sq. Ft.
1016.
Garage Area
Storage
CHANGE OF USE FROM
6.
TO
Area of Decks
Finished Basement
Unf in. Basement
TYPE
7. OF
WORK
UNEW
yy BLD.
O ALT.
O PLMB.
O AD N.
O MECH.
O RPL.
O M.H.
❑ MVE.
0 POOL
0 OTHER
No. Baths
1
No. Stories
No. ROOMS
No. of Dwellings
— 1
CERTIFICATE
of EXEMPTION
Req'd.
Rec'd.
Not Req'd.
X
DESCRIBE WO RK
8. Single family residence
Enum. Dist.
Location (Area)
VALUATION
9.
SOURCE
OF
UTILITIES
GAS
ELECTRIC
WATER
SEWER
Septic
Ownership
Public 0 Private)(
USE CODE
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
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 7/25/80 SIGNATURE OF APPLICANT
SPECIAL APPROVALS
NAME DATE
E�Qto .?/.2s -
Planning
Fire Marshall
Co. Engineer
Utilities
Plans Examiner
SEPA Checklist
3Iaftci
7/z5/8a
SPECIAL
,�'CONDITIONS:
,
On-s
0p?,6PM OI1 NI BOGO
MAIL. `b (*.Nene-.
1 0 .1# i
PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
FEES COLLECTED
Single
Building
Plumbing
Mech.
Plan Check
SEPA
Mobile Home
Other (Specify)
G r(( I1
TOTAL $ I'
PERMIT NUMBER
02'* *16,500
* 165.00 t6
* 165006
E *Q00
76302
07=25-80
• 6479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT. •
'0 71A ';2ih 81.01
DATE ISSUED
78'0,8.2 :16S,Go
PERMIT NO.
TOTAL
4.
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