1980, 04-11 Permit: 80-3431 AdditionPLAN NUMBER
APPLICATION/PERMIT
Main Floor
Upper Floors
Garage Area
SPOKANE COUNTY — BUiLIDR4G CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
APPLICANT:
COMPLETE NUMBERED SPACES - PRESS
HARD TO MAKE 3 COPIES
JOB ADDRESS
CHANGE OF USE FROM
DESCRIPTION - SEE ATTACHED
211 r_oNLEGAL
Finished Basement
Unfin, Basement
LOT
BLOCKISUBDI.!;
VIblUN
—
PARCEL NUMBER/S C1wrtc2Es iRIR . A+sta+cr
2.
TYPE I NEW ❑ ALT. ❑ AD'N. ❑ RPL. ❑ MVE.
No. Baths
.-
No. Stories
A 'PbXT. OF M.ZC. 4- OF E Vz
OrF k'! �rj�j+ CS I' E VZ
OW ERPHONE
7, OF ❑ OTHER
BLD. ❑ PLMB. ❑ MECH. ❑ M.H. EI
CERTIFICATE
3. #.Q P�. CJ2S'
Recd.
'SS/SS/
47553—c54ZG
ADDRESS
ZIP
Actual Set Backs in Feet
N. ?—�%-7 LoT.,
Enum. Dist.
s
—t f01(o
North246e*1*South 30'* East 31, West�+�J�/' o%
CONTRACTOR
PHONE
Size of Parcel
Zone Classification
SAME
VALUATIONI SOURCE GAS ELECTRIC WATER SEWER Ownership USE CODE
"2. .�Ic.eeEs
� C.�d'tv12 r`
4.
ADDRESS
Single $
ZIP
Type Const.
Occupancy
Sprinklered
�fr
performance of construction, SEE REVERSE SIDE FOR REQUIRED INSPECTIONS
Plumbing
Dyes ❑No [:]Req'd.
DESIGNER
SPECIAL APPROVALS SPECIAL CONDITIONS:
PHONE
Valuation
Building Area in Sq. Ft.
Env. Ave- Ta Aeor pwAi 'e
/
Planning / b PCrj�S �]f/�CM�o
4 6dg, oso
I-qz I
5
Fire Marshall
Mobile Home
Co. Engineer
Other (Specify)
ADDRESS
ZIP
Main Floor
Upper Floors
Garage Area
Storage
I
CHANGE OF USE FROM
TO
Area of Decks
Finished Basement
Unfin, Basement
6.
1
--
—
—
TYPE I NEW ❑ ALT. ❑ AD'N. ❑ RPL. ❑ MVE.
No. Baths
.-
No. Stories
No, Rooms
No. of Dwellings
7, OF ❑ OTHER
BLD. ❑ PLMB. ❑ MECH. ❑ M.H. EI
CERTIFICATE
Req'd.
Recd.
Not Req'd.
WORK
of EXEMPTION I
I
V
DESCRIBE WORK
Enum. Dist.
Location (Area)
$
FEES COLLECTED
A/Y/D l�/�/U / drJY
VALUATIONI SOURCE GAS ELECTRIC WATER SEWER Ownership USE CODE
OF
T y6tiS•_- UTILITIES Public El Private
I
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
60, OC)
Building
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
Plumbing
DATE OF APPLICATION 1411.10 j SIGNATURE OF APPLICANT ZY
Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE
Plan Check
Env. Ave- Ta Aeor pwAi 'e
/
Planning / b PCrj�S �]f/�CM�o
SEPA
Fire Marshall
Mobile Home
Co. Engineer
Other (Specify)
ties
s Examiner
1. 06-S- 'L F1U& rr j►) I.v
wild g Technician PERMIT IS NONTRANSFERABLE
PERMIT NUMBER
*5000
j734, 7
0G-10-80
5479,
TOTAL $ 6-4 0. 00
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
04-1'1 8'0 543,1E
*50,0-020'1- -
'30e
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Q