1980, 09-02 Permit: 80-9443 ResidencePLAN NUMBER APPLICATION/PERMIT
C! e
��"��3%I SPOKANE COUNTY — BUILDING CODES DEPARTMENT
ItNORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
U APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
JOB ADDRESS
1. N. S Ma hew LEGAL DESCRIPTION — SEE ATTACHED
LO7 K UB I I 1O PARCEL NUMB ER/S A/,8 (JF S, b7, 7Gt' O� U/,
ZB - /"��' 7'R-40-7-
2. /a�s ,axe, w• io' Fap RURo
OWNER PHONE --546 -44 _ v / �j
3
Larry Peplinski, Bldr. 928-6090W. A=Ajej!jA J1717-
r� f T:r
ADDRESS ZIP Actual Set Backs in Feet
P.O. Box 14410 Spokane, Wn. 99214 North south East west
CONTRACTOR PHONE Size of Parcel Zone Classification
4 80 x 137 Single family
ADDRESS ZIP Type Const. Occupancy Sprinklered
Same f rame single ❑Yes ❑No ❑ Req'd.
DESIGNER PHONE Valuation Building Area in Sq. Ft.
2.500 1016 A
5, ADDRESS ZIP Main Floor Upper Floors Garage Area Storage
X I - I - F
CHANGE OF USE FROM TO Area of Decks Finished Basement Unfin. Basement
6.
No. Baths No. Stories No, Rooms No. of Dwellin
TYPE 1� NEW ❑ ALT. ❑ AD -N. ❑ RPL. ❑ MVE. s 1
7, OF ❑ OTHER
WORK ❑ B4 -D. ❑ RLMB. ❑ MECH. ❑ M.H. ❑ POOL CERTIFICATE Req'd. Recd. Not Req'
of EXEMPTION
DESCRIBE WORKEnum. Dist. Location (Area)
8. Single family FEES COLLECTED
VALUATION1 SOURCE GAS ELECTRIC I WATER I SEWER Ownership USE CODE
OFTIES Public F-1 Private
9, UTILISeptic I C
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 206.00
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. SEEREVERSE SIDE FOR REQUIRED INSPECTIONS -. Plumbing
::�
nATF CIF APP( (CATION 8/28/80 SIC;NATIIRF nF APPI ICA l%%�a� � Mech.
SPECIAL APPROVALS
NAME DATE
Env al
Panning
Fire Marshall
Co. Engineer
Utilities
Plans Examiner
SEPA Checklist
SPECIAL CONDITIONS:
-W,a d ,IAM'f;�-t�Ls 414b,,r
Plans on file #R-780
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL $206.00
F'kQMIT NUMBER
*� Uo.00y
*Ct,o
926.F;
r b Q. 7 9.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
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Tech_ ic,ian - I PERMIT IS NONTRANSFERABLE n 9 '— n '9 - R: w o 1!:A A o 4,, n n.< n n o J-
/DDC
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M-425
1016-A
Lot 2B