1980, 09-22 Permit: 80B-579 Residencej
PLAN NUMBER
iNo 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
D- /
LO
2. /
gBL •IT 4-4 /j ,yet
LEGAL DESCRIPTION — SEE ATTACHED
OWNE �Le -Me
ADDRESS
//56, 7 Ale, 4.49
CONTRACTOR
/J44.4 i
ADDRESS ••
�J4
PHONE
92.8-.1657
PARCEL NUMBER/S Q,5'4,1/—// O/
t -d r/ GJ
/LL -5? tsr ADO/ 2164/
ZIP
Actual Set Backs In Feet
North/.24 'South 96 East .17 'West 391
PHONE
ZIP
Size of Pa/Cel / /RREC2
/5Sx e16 APP
„cit. Opccupancy
IC. —3
Zone Classification
Sprinklered
❑Yes jid,No ❑ Req'd.
5.
DESIGNER
PHONE
ADDRESS
ZIP
CHANGE OF USE FROM
6.
TO
Vpluation Od
y620 7-2
oMain /Flloo/or
—A4
rea bf Decks
0443.21
Building Area In Sq. Ft.
.2440'
Upper Floors Garage Area
76,1
Storage
Finished Basement
Unfin. Basement
/Age'
TYPE
7. OF
WORK
Di NEW
0 BLD.
❑ ALT.
❑ PLMB.
❑ AD N.
❑ MECH.
❑ RPL.
❑ M.H.
❑ MVS.
❑ POOL
0 OTHER
No. Baths
– No. Stories
/
No. Rooms
7
No. of Dwellings
CERTIFICATE
of EXEMPTION
Req'd.
Reed.
Nott Req'd.
D CRIBS ORK f�,� Ae /; Q .�/�s
eha
ALUATIO SOURCE GAS 124-1 1 ELECTRIC WATER SEWER
�Q �Z
UTILITIES
OF
9. ss.66
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
Enum. Dist.
Location (Area)
Ownership 911 USE CODE
Public 0 Private
DATE OF APPLICATION 9'—/cj ��{(f SIGNATURE OF APPLICANT
ismismanomis
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME. DATE
�f.,
Env. /6, Sb /fl h -
Sb
P anning
Fire Marshall
/ Lime
W
Co
Enginee
Utilitie
4
/4 lens Ex�
SEPA Chj / ,
B. Id • Te nic
.1
oCieg-lat O,K• 03-43-8/
PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
FEES COLLECTED
Single $
p
Building < -
Plumbing
Me ch.
Plan Check
SEPA
Mobile Horne
Other (Specify)
60
TOTAL $ X39/
PERMIT NUMBE4l
groom -a. �y
02* *391.00
*391.00 N
*391.0.08
•A *000
57.8B
09=2,2-80
6479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
0191.421!2'] 7 '8i 0
DATE ISSUED
57:91Z &3'9L00a1r-
PERMIT NO.
TOTAL
o: AJLIP A N RP,
CoT FN /34oc%- at o F JzER rtRs7 RDirloN