1980, 09-11 Permit: 80-9985 AdditionPLAN NUMBER, } ..t
2. 9:59 19
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
1. CC))1l'• /dos
SLOT LOCK
2./5' //`T
3 D -Pt_ e
A bRES
scl. /,c -es
sG�bpo 1�19N z. .e-a4-Gl-�>'-
q�p / PHONE
.X�I".GL,qn 9:. -3G.3S
=j9 ..l4a(r.LQ.b(n/{'
4.
CONTRACTOR
-AD
eO Av..vr f"
ADDR ESy -4 Aitte.
DESIGNER
5' ADDRESS
ZIP
1 /7.
PHONE
LEGAL DESCRIPTION — SEE ATTACHED
PARCEL NUMBER/SQ.-7,5-4R /G/,g
L.p7' /g et/Ce
OPPVRTVN,r-1/ i SPRAeE
Actual Set Backs in Feet
North LI 7 (South
East Cl,K / (West .2 7
ZIP
Size of Parcel Zone Classification
/Z7Z) N/6-21 A PP a:141-f.CfLtM(.L+-.•et[.(��/
-
Type Const. Occupancy Sprinklered
V-tJ
CVes ❑No 0 Req'd.
PHONE
Valuation
(,040
Building Area 19 Sq. Ft.
-5d
ZIP
Main Floor
,L �1 r
Upper Floors l Garage Area
Storage
CHANGE OF USE FROM
6.
TO .
Area of Decks
u?
TYPE
7. OF
WORK
• NEW
O BLD.
O ALT.
O PLMB.
t'+l AD N.
0 MECH.
❑ RPL.
❑ M.H.
O MVE.
O POOL
0 OTHER
No. Baths
..}}F..i__nishe Basement
d.
LCIGAAt
Unfin. Basement
!PJ
lNo. Stories No. Rooms
No. of Dwellings
, CERTIFICATE
of EXEMPTION
Req'd.-
Recd.
Not Req'o.
x
DESCRIBE WORK
t.0 - f%f ti
ALUATI ON
9.(O6O
SOURCE
OF
UTILITIES
GA
ELECTRIC
WATER
SEWER
Enum. Dist.
Ownership
Public 0 Private
Location (Area)
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.tiioSEE REVERSE SIDE FOR REQUIRED INSPECTIONS
-/
DATE OF APPLICATION - A-7-4 SIGNATURE OF APPLICANT
SPECIAL APPROVALS
NAME DATE
Env. Health
Planning
Fire Marshall
Co. Engineer
Utilities
Plans Examiner
OS
SEPA Checklis
J
Bui .Ing Technician
SPELL CC MONS:
G
d•
PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
FEES COLLECTED
Single
Building
Plumbing
Mech.
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL
$
�- .—"
PERMIT NUMBER
Sea—g/fl
02*
*5600
*5600
9984
09.-11-80
6 4.7 9,
1
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
OI9011 1H'8;!01.
DATE ISSUED PERMIT NO. TOTAL
9'9 8.5=. *5'6.0 0 ?Hz'
J
LL
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