1980, 07-25 Permit: 80-7673 DuplexPLAN NUMBERW
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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
JOB ADDRESS
E./ael/8 -
,. LdT 7
L K
S BDIV S
LEGAL DESCRIPTION — SEE ATTACHED
2.
OWNS 0Q
3. a t -&' �. de ./.t-+ 414.0,
ADDRESS ` pp
e• jI,Rh -, ;10 24i J,a.k/mft.
CONTRACTOR
xi, Vktt_.;
4.
5.
PHONE
ZIP
992o6.
PARCEL NUMBER/S " —.l 7
N-/30 vi= Cr/•OF .c.er8•4A/-/.JJ /iF
1.-07" 7 ,cxa. i' • 64.i.G " 43ZX /u
I/A/.,& A'VVierei) , r7T),
Actual Set Backs In Fee M
North (South East (West
'PHONE
Size of parcel I Zone Classification
v4/; - x :jo elm
ADDRESS
aCJ-1/2/?Off
DESIGNER
ZIP
PHONE
Type Const.
Valuation
ADDRESS
ZIP
Main Floor
Sprinklered
❑Yes ONo 0 Req'd. -
Building /Area in Sq. Ft.
• /D 7 /
Upper Floors Garage Area Storage
CHANGE OF USE FROM
6.
TO
Area of Decks
Finished Basement
Unfin. Basement
TYPE
7. OF
WORK
O NEW
❑ BLD.
O ALT.
❑ PLMB.
❑ AD N.
O MECH.
0 RPL. O'MVE. ry�
❑ M.H. 0 POOL OTHER
../(12/74 l.l.f./?1.i
SCRIBE WORK
8. AD/r r P.l,i LA.l .
LUATION SOURCE GAS /ELECTRIC
O
UTILITIES
/No. Bat 1s
No. Stories
/
No. R e tl5
S
No. of Dwellings
CERTIFICATE
- of EXEMPTION
Req'd.
Rec'd.
Not Req'd.
b.44. alrekeia--
Enum. Dist.
Location (Area)
9. -
WATER
SEWER
Ownership
Public 0 Private (A
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 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 7'�..G� �D SIGNATURE OF APPLICANIL&,-8h.�61▪ `-i'✓n-Q
SPECIAL APPROVALS
NAME DATE
Env. Health
Planning
Fire Marshall
Co. Enginee
Utilities
Plans Examiner
SEPA Checkl
Bu •Ing Tec olcian
SPECIAL CONDITIONS: .
"12.42,L6S iJ- c- y- ap_te:/tig-illet C)
PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
FEES COLLECTED
Single
Building
Plumbing
Mech.
Plan Check
SEPA
Mobile Home
$
firentQ-
Other (Specify)
TOTAL $&612Q -
PERMIT
'' A6 J
PERMIT NUMBER
go- 7673
02* *8600
* 8600 63
* 86008
*0..00
76.7.2
07-25-80
2 6479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
O7 -2Y5
18,'0,
DATE ISSUED
76'7..35 *86,00Ri
PERMIT NO. TOTAL