1980, 07-18 Permit: 80-7308 RemodelPLAN NUMBER
APPLICATION/PERMIT
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
1.
2./0
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
JOB ADDRESS
/* 7 el/Nese/roe
LEGAL DESCRIPTION — SEE ATTACHED
LOT
BLOCK
-7
SUBDIVISION
RCTC#/Pcr2 , ,4Cee— 772A1Cr5
OWNER
3 / kE .$Ccr/"
PHONE
%z—/49z
PARCEL NUMBER/S
24/54/3 — p 7/0
ADDRESS
/3o7 L /fl1e c/c/r.
ZIP
99037
Actual Set Backs in Feet
North 'South
East 'West
4.
CONTRACTOR
PHONE
Size of Parcel
/4/ 4.X Z8c
Zone Classification
144e/ • 5Uetslz&aN
ADDRESS
5.
s.itme
DESIGNER
ZIP
Type Const.
Occupancy
Sprinklered
❑Yes 0 N 0 Req'd.
PHONE
Valudpn
640.00
Building Area in Sq. Ft.
$d
ADDRESS
ZIP
Main Floor
Upper Floors
Garage Area
Storage
CHANGE OF USE FROM
6.
TO
Area of Decks
Finished Basement
5^�
Unfin. Basement
TYPE
7. OF
WORK
IfoNEW
ikr-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.
Rec'd.
Not geq'd.
DESCRIBE WORK
ai/irN,taoni ? r44rtow /A) , #tseis6ti 7
8. Pivr-N
VALUATION
976
Enum. Dist.
Location (Area)
SOURCE
OF
UTILITIES
GAS
ELECTRIC
WATER
SEWER
5r—Pre c
Ownership �/
Public 0 Private CJ
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 INSPE 1 TION
DATE OF APPLICATION (TI (j 6v SIGNATURE OF APPLICANT,��+.J,Jk
SPECIAL APPROVALS
NAME DATE
Env. Health
Planning
Fire Marshall
Co. Engineer
Utilities
Plans Examiner
SEPA Checklist
Buiiinq/echnician
SPECIAL CONDITIONS:
PERMIT IS NONTRANSFERABLE
FEES COLLECTED
Single $
Building °//,50
Plumbing
Mech.
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL $ it.50
PERMIT NUMBER
80 -- 738
02*
* 1 1 „J 0
* t
73
C
07-18-80
679.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
73'0,82
*1L50°1=