1980, 11-03 Permit: 80B-3093 AdditionPLAN NUMBER APPLICATION/ PERMIT
��- 20 j�PJ 31,4�p SPOKANE COUNTY — BUILDING CODES DEPARTMENT
/ NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
TYPENo.
NEW ❑ ALT.
], OF
WORK ❑ BLD. 1:1PLMB.
APPLICANT:
COMPLETE NUMBERED SPACES — PRESS
HARD TO MAKE 3 COPIES
Baths
f !-14
JOBOB ADDRESS � ,
No. Rooms
LEGAL DESCRIPTION — SEE ATTACHED
OTHER
CER IFICATE
of EXEMPTION
Req'd.
Recd.]NotReq'd
LCDT
I BLOCK
I SU DIVISION
PARCEL NUMBER/S;
FEES COLLECTED
VALUATION
SOURCE
GAS
ELECTRIC
WATER
O NER
Ownership
PHONE
3.
QQiTii
W ST VAA,1LZ.Y a�t
ADDRESSt p
ZIP�i
Actual Set Backs in Feet
/ �v�
-,7 7�
North L7 South„7.4
East West/e,'�4
C NTRACTOR
PHONE
Size of Parcel
Zone Classification
,a
4.
ADDRESS
ZIP
Type C nst.
Occupancy
Sprinklered
11--N
I
[--]yes [-]No ❑ Req'd.
DESIGNER
PHONE
V uation dG
Building Area in Sq. Ft.
-0
7J
5.
ADDRESS
ZIP
Main Floor
Upper Floors
Garage Area
Storage
CHANGE OF USE FROMTO
Area of Decks
Finished Basement
Unfin. Basement
6.
TYPENo.
NEW ❑ ALT.
], OF
WORK ❑ BLD. 1:1PLMB.
AD'N. ❑ RPL.
ElMECH. ❑ M. H.
❑ MVE.
El POOL
❑
Baths
f !-14
No. Stories
No. Rooms
No. of Dwelling
OTHER
CER IFICATE
of EXEMPTION
Req'd.
Recd.]NotReq'd
DESCRIBE WORK
8.4;zC /
Enum. Dist. Location (Area)
FEES COLLECTED
VALUATION
SOURCE
GAS
ELECTRIC
WATER
SEWER
Ownership
USE CODE
OF Public ❑ Privateki
9. UTILITIES Single $
1 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 INSPECTIONSdy/rte) Plumbing
DATF nF APPI ICN ATIn/Z '" 2-1-Vd ;inNATHRF nF APPI ICANT *�yn4)() /�t6a X /,71/ Mech.
SPECIAL APPROVALS
SPECIAL CONDITIONS:
PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
Plan Check
SEPA
Mobile Home
Other (Specify)
au
TOTAL $
-- PERMIT NUMBER
02* * 1 22.00
*12200
* 1 2200
A *000
309,2;
11-03-80
R 6479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
1'l _aa .'80 30,9.311 *1220000. -
DATE ISSUED PERMIT NO. TOTAL