1980, 07-25 Permit: 80-7625 MHHIV IN VIVI tStK
JOB ADDRESS
� . 7Z 1,;< .
LOT BLOC;
2.
OWNER
3.
A RE15S
��y�$�' 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
LEGAL DESCRIPTION — SEE ATTACHED
S y90 IVISIO PARCEL NUMBER/S
PHONE��
-7) 7»!
ZIP Actual Set Becks in Feet
PERRjMIIT.NUMB�iE
1 s
O'l,J f V
07 1 00.0:0
* 1 00,00
* 1 00.00y -
i / f ?%`17624z?
E * 0. 0 0
yL� North South Eas West 'Jv 7 6 G. 4
ONTRACTOR PHONE Size of Parcel Zone Classification 07-25-80
ADDRESS ZIP Type Co 4. st. Occupancy Sprinklered � 6, 4 7 9.
Build g chmcian 7 PERMIT IS NONTRANSFERABLE Q,t%,•;,2 5��`.!8:�`�' % 6.2,.5 z ,1e 1 �, 0'0 d F-
F
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL
11
❑Yes ❑No ❑ Req'd.
DESIG
PHONE
_
Valuation
Building Area in Sq. Ft.
'z,4
5.
ADDRESS /
ZIP
Main FloorUpper
Floors I
Garage Area
Storage
--�_
CHANGE OF USE FROM
Area of Decks
Finished Basement
Unfin. Basement
1770---
6.
TYPE ❑ IyIEW ❑ ALT. ❑ AD'N. ❑ RPL. ❑ MVE.
No. Baths
—Z—
No. Stories
No. Rooms
No. of Dwellings
% OF 13 OTHER
❑ ❑ �
l
Req'd. Recd.
t
Not R�q'd.
WORK BLD. PLMB. ❑ MECH. 1:1 POOL
CERTIFICATE
of EXEMPTION
V/
D RIWOR
Enum. Dist. Location (Area)
8. �.
FEES COLLECTED
1C.".1VALUATION
OURCE
OF
GAS
ELECTf2 1C
/,!
WATER
WER
Ownership
USE CODE
9. &O
UTILITIES
{�
C
Public ❑ Private
Single $
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
Building
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 INSPECTIO
Plumbing
DATE OF APPLICATION 2 -) SIGNATURE OF APPLICANT
Mech.
SPECIAL APPROVAL9
9PECIAL CONDITIONS:
NAME DATE
Env. Health
Plan Check
SEPA
Planning
Fire Marshall
Mobile Home /00
Co. Engineer
Other (Specify)
CEi
Utilities
TOTAL $
Plans Examiner
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist
THIS BECOMES A PERMIT.
Build g chmcian 7 PERMIT IS NONTRANSFERABLE Q,t%,•;,2 5��`.!8:�`�' % 6.2,.5 z ,1e 1 �, 0'0 d F-
F
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL
O
CH-
SOT 6 BLOCK ONE-E�ATESTE
12 0. 00 •
18F'c.
,01
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