1980, 07-18 Permit: 80-7304 Special InspectPLAN 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. 3 v' 9•
LOT
OWN LR
ADDREtc
2.
3
BLOCK
SUBDIVISION
2 -
4.
5.
CONTRACTOR
ADDRESS
DESIGNER
P /—
P ONE
LEGAL DESCRIPTION — SEE ATTACHED
PARCEL NUMBER/S
Z2- 5
Actual Set Backs in Feet
North (South
East
'West
SIZe of Parcel
Zone Classification
ZIP
Type Const.
Occupancy
Sprinklered
❑Yes ❑No 0 Req'd.
PHONE
Valuation
Building Area in Sq. Ft.
ADDRESS
ZIP
Main Floor
Upper Floors 1 Garage Area
Storage
CHANGE OF USE FROM
6.
TO
Area of Decks
Finished Basement
Unf in. Basement
TYPE
OF
WORK
O NEW
❑ BLD.
❑ ALT.
❑ PLMB.
❑ AD N.
❑ MECH.
❑ RPL.
❑ M.H.
❑ MVE.
❑ POOL
0 OTHER
No. Baths
No. Stories
No. Rooms
No. of Dwellings
CERTIFICATE
of EXEMPTION
Req'd.
Recd.
Not Req'd.
8.
9.
DESCRIBE WORK
VAL� 4' GAS
S URGE
OF
UTILITIES
CcK
EL TRIC
Enum. Dist. I Location (Area)
WATER
5 WEB
Ownership
Public 0 Private 0
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 INSPECT
DATE OF APPLICATION 2— J —I " SIGNATURE OF APPLICANT
SPECIAL APPROVALS
NAME DATE
Env. Health
Planning
Fire Marshall
Co. Eng l neer
Utilities
Plans Examiner
SEPA Checkli
SPECIAL CONDITIONS:
PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
FEES COLLECTED
Single $
Building
•
Plumbing
Mech. ,
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL $
e-a°
-
PEFiMIT NUMBER
vo-730¢
02* *800
*800 N
*a00m
E *000
70228
07-14-80
2 6479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
'0171:-7;n8&81'0'
DATE ISSUED
7 3' Q'4'5
PERMIT NO.
*8,.00ar2
TOTAL
PLAN NUMBER
APPLICATIVIM/ PEPINNIT
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.
LEGAL DESCRIPTION - SEE ATTACHED
LOT
2.
BLOCK
SUBDIVISION
OWN R
3. Ke l AtR
ADDRESS 1) I
1 r�jJ�.y J
CONTRACTOR `I
4.
2 -
PARCEL NUMBER/S
P /_
P ONNE 69
Actual Set Backs In Feet
North (South
East
West
Size of Parcel
Zone Classification
ADDRESS
ZIP
Type Const.
Occupancy
Sprinklered
❑Yes ❑No ❑ Req'd.
5.
DESIGNER
PHONE
Valuation
Building Area in Sq. Ft.
ADDRESS
ZIP
Main Floor
Upper Floors 1 Garage Area
Storage
CHANGE OF USE FROM
6.
TO
Area of Decks
Finished Basement
Unfin. Basement
TYPE
7. OF
WORK
❑ NEW
❑ BLD.
❑ ALT.
❑ PLMB.
❑ AD N.
O MECH.
❑ RPL.
❑ M.H.
DESCRIBE WORK
8.
VALUATION d
V 1+�*
S URGE AS
OF
UTILITIES
❑ MVE.
❑ POOL
0 OTHER
N ('V �
� °k
WATER S WER
ELECTRIC
No. Baths
No. Stories
NO. Rooms
No. of Dwellings
CERTIFICATE
'of EXEMPTION '
Req'd.
Rec'd.
Not Req'd.
Enum. Dist.
Location (Area)
Ownership
Public 0 Private 0
USE CODE
I hereby -certify that I have read and examined this application and have read I
on reverse side, and know the same to be true and correct All provisions of I
type of work will be complied with whether specified herein or not. The gian
to give authority to violate or cancel :he provisions of any other state of local
performance of construction. SEE RF`:ERSE SIDE FOR REQUIRED INSPECT
DATE OFAPPL! =ATI C!f: "/ ^
SPECIAL APPROVALS
NAME DATE
SEPA Chei6: y
aI .
SPECIAL CONDITIONS:
he "NOTICE" provisions included
.i -us and ordinances governing this
Him of a permit does not presume
bin regulating constiuction or the
0 -rt -eltelerren,Ottaaaes°
PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FHUfa NA FE OF ISSUANCE
FEES COLLECTED
Single $
Building
Plumbing
Mech-
Plan Check
SEPA
Mobile Home
Other (Specify) ✓
TOTAL $
r1
02* *800
* 800
* 8008
E *000
70228
07-14-80
g 6479.
IYrEN P.i4Cri,4% ''AI ;L'ATCC IN iH,6 `:PAC t,
C- IS RE CC"•.i ES A PERMIT.
DATE ISSUED
PER VI NO. --.DTAL
>-
0_
d