1980, 04-29 Permit: 80-4045 AdditionPLAN NUM ER (L / • APPLICATION/PERMIT PERMIT NUMBS d
SPOKANE COUNTY — BUILDING CODES DEPARTMENT 80
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
JOB ADDRESS
1.
LOT I 'BaDC
2.
OWN
3.
4. ADDRESS
DESIGNER
5. ADDRESS
APPLICANT:
COMPLETE NUMBERED SPACES — PRESS
HARD TO MAKE 3 COPIES
AD -N. ❑ RPL. ❑ MVE.
LEGAL DESCRIPTION — SEE ATTACHED
7, OF
f�
XBLO.
I-]PLMB.
S BD IVISION
r
PARCEL NUMBER/S
/_5�
G) C7
o- o
6 0 1 -- 0/
Req'd.
Recd. -]Not
IONE
WORK
143
Ll-
of EXEMPTION
L4
I
Z
E C
Actual Set Backs in Feet
l
Ff
e k,
-2/)&
North South East West
HONE
Size of Parcel
Zone Classificati
ZIP
Type Const.
Occupancy
Spri klered
❑Yes Xo ❑ Req'd.
PHONE
Valuation-7� ®
Building rea in Sq. Ft.
ZIP
M�a" Floor
Upper Floors
Garage Area
Storage
CHANGE OF USE FROM TO Area of Decks Finished Basement Unfin. Basement
6. 1
No. Baths No. Stories No. Rooms No. of Dwellings
TYPE
❑ NEW
❑ ALT.
AD -N. ❑ RPL. ❑ MVE.
7, OF
f�
XBLO.
I-]PLMB.
13 OTHER
1:1MECH. ElM.H. ElPOOL
CERTIFICATE
Req'd.
Recd. -]Not
R
WORK
of EXEMPTION
I
E C
IBE WORIJ
Enum. Dist. Location (Area) FEES COLLECTED
8.O
VALUATION SOURCE GAS ELECT,/RIC T SEWER Ownership USE CODE
JX
9. UTILOITIES 141,11'�(f ��G Public ❑Private 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 —44--6t
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 INSPECTIgms Plumbing
r.
DATE OF APPLICATION '" IGNATURE OF APPLICANT Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DAT
E Env. Hi!;�E6AW5 ��0
Env. He th � r +
Planning MA L/
Fire Marshall
Co. Engineer
s Examiner
PERMIT IS NONTRANSFERABLE
$� PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
Plan Check
SEPA
Mobile Home
Other (Specify) -
3) 0
Specify)
TOTAL $
WHEN MACHINE VALIDAI
THIS BECOMES A PERMIT.
04:=12 r9' 8'0
DATE ISSUED
00
*4.4.00
E *000
390.9
04-25-80
10 0479.
IN THIS SPACE,
40452 *4400° -
PERMIT NO. TOTAL