1980, 06-11 Permit: 80-5656 Residence(PLAN NUMBER e—•veri
i e- z
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
B ADDRESS
116113 tile, Wet_
LOT SUBDI ISION_ •
2.
PA \SS iOAJ - P1 n CS
BLOCK
1
3.
4.
OWNER
(o e�.f SCR (\ ut K` it \^
A E l Il ..i ' I3e Wc.I t , 1
CO' CTO
L t t K c1 tnS r uc 1 tbn
ATh4( SJ • 3ouid \'l
DESIGNER
LEGALDESCRIPTION - SEE ATTACHED
PHONE
9 aa-39oy
PARCEL NUMBER/S
6654 / — zmEiv 01101
5' ADDRESS �i r\ f1\c
PHONE
9.aa- Dov
ZIP
9saoc�
J
PHONE
Actual Set Sacks in Feel z:2
North I 'South
Size of Parfet
7?J'V K rin7, V
T% a Const. Occupancy
t�iY(alua/Ite SS ti Ibceb 1
p,
East ss Wes[ 070 J
Zone Classif icationy
RJ-;;,),„ \ :2
Sprinklered
❑YesNo ❑ Req'd.
Main Floor
lalC7
Upper Floors
CHANGE OF USE FROM
6.
TO
Area of Decks
an VI
Building(`Ar�ea in)�Sq. Ft.
G as rra`ge Arrea 16'
CI
Finished Basement
I\ O
Storage
Unf In. Basement
rata
TYPE
7. OF 'r
WORK ,BLD.
EW
❑ ALT.
❑ PLMB.
❑ AD N.
O MECH.
O RPL.
O M.H.
❑ MVE.
❑ POOL
0 OTHER
No.
^^Baths
No. Stories
No. Rooms
CERTIFICATE
of EXEMPTION
Req'
No. of Dwellings
tlRec'd.
Not Req'd.
•
DESCRIBE WORK
B. StnUc\e -Gam ly Rest en C.;€ , C'wraR \�
VAL(�"�10 SOURCE GAS ELECTRIC WATER'EWE
9-(0610 IO• UTILITIES1 WW? �trl0tlei`N 'p c.eprjOF
Enum. Dist.
Location (Area) Ric
Ownership
Public 0 Private 0
USE CODE
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 p esume
to give authority to violate or cancel the provisions of any other state or local law regul. Irg construes or the
performance of construction. SEE REVERSE SIDE FOR REQUIRED INSPECTIO S -
DATE OF APPLICATION tt� q SIGNATURE OF APPLICAN~�
SPECIAL APPROVALS
NAME DATE
Env`flea
Planning
,-- Fire Marshall
Co. Engl
Utilities GgCi
Plans Examiner
6 -/d -2o 7rrnv P63ijek/CIA
SEPA Checklist
SPECIAL CONDITIONS:
Go LAG. (27-3-01- KF3-AL - K 427toJlp
cN
MAIL to ce tO \ 4-141 ')
PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
FEES COLLECTED
Single $
Building seee
Plumbing
Mech.
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL 0-56
IP2 -
1
j�SSERM MBER r,
0-5-W s(a
02* *28600
*28600
*286006
E *Q00
.5523
0'6-09-80
2 6479.
kiateg"
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
16; "1,1.:8,,8.
DATE ISSUED
6.
5.PERMIT N)Ot5. 6'Z * 2 8 6;0 on
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