1980, 04-18 Permit: 80-3676 Move Residence, Renewal of J0065APPLICATION/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
JOB ADDRESS
i.e, i/7PZ-2
f
5 BD
LOT
2.
BLOCK
LFGALDESCRIPTION — SEE ATTACHED
SI ON
oINER
ADDRESS p pwe
a //722 7�ci.0 2w/c2_
HC�O�NNTRACTOR
4. ADDRESS
,do,t.ka
DESIGNER
• ADDRESS
PHONE
923-9239
PARCEL NUMBER/5/�'$—/Jl/1L—Qs23 •
tut exc. ab 2 i5 ",L..Ess R/w EX C. N.20
rRACr /S9 oppowru.v/ry
ZIP
99 06
PHONE
ZIP
PHONE
ZIP
Actual Set Backs In Fe
t
•
North • (South
Size offarcel .
90x3,06
Type Const.
Valuation
Main Flo2r
/64-h
Ea(t
'West
Olocenatettgiad-
Zone Claysif'cation
Sprinklered
Oyes ONo 0 Req'd.
Building Area In Sq. Ft.
Upper Floors Garage Area
Storage
CHANGE OF USE FROM
6.
TO
Area of Decks
•
Finished Basement
Unfit). Basement
6037 •
TYPE` .0 NEW ' 0 ALT. 0 AD N.
7. OF
WORK BLD. 0 PLMB. 0 MECH.
❑ RPL.
❑ M.H.
MVE.
0 POOL
0 OTHER
No. Baths
No. Stories.
No. Rooms
. 7
No. of Dwellings
CERTIFICATE
.of EXEMPTION
Req'd.
Recd.
Not Req'd.
DESCRIBE WORK
8../QL1.4/4
VALUATION
9.
50 of , DOST CR,
T-r•.s4
SO u'k CE GASOF ELECTRIC WRIERSEr�ER
UTILITIES
Enum. Dist.
Location (Area)
Ownership
Public 0 Private AZ
USE CODE
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
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
DATE OF APPLICATION
SIGNATURE OF APPLICANT d24-�/�LGdi,�%L.y�F` _`r i
SPECIAL APPROVALS
NAME DATE
Env. Health
Planning
Fire Marshall
Co. Engineer
Utilities.
Plans Examiner
SEPA Checklist
Building T chn/cian
R•� dcau
SPECIAL �CO�N gD�ITIIO�'N,N,SS: wt 61+1++44-4-
I,' ,et
PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
FEES COLLECTED
Single
Building
Plumbing
Mech.
Plan Check
SEPA
Mobile Horne
Other (Specify)
'46
TOTAL "CIO
PERMIT NUMBER
gD —374
02* *4Q00
*4Q00
367.52
04-18-80
64.79.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
0'0911.1!-131.10? Y6 7.6 z X 4 0.O'0.Ri p'
DATE ISSUED PERMIT NO. TOTAL