1980, 10-07 Permit: 80B-1568 AdditionLtl7/5 . SPOKANE COUNTY — BUILDING CODES DEPARTMENT
APPLICATION/PERMIT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675 DATE
APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 4 COPIES
PERMIT NUMBER
JOB ADDRESS
1. .E, ao07 M t55ION YE t ,
LOT BLOCK SUBDIVISION
2. // /
OWNER
AD
3. ERJ 1 2 h) DE SCLI
ESS
E, 7 M15510t4 &JE
CONTRACTOR
4. C'O'Y
gpDRESS Q
�/ ollg /J-%(t.lt.GGf -
DESIGNER
ASC ,Ri53 oo']-- z2-NVavE:-
6.
LEGAL DESCRIPTION - SEE ATTACHED
PHONE
ZIP
-PHONE
535 093
PARCEL NUMBER/S O 7c54t3_ 2J�
Ler ii 43L/-(/
/M )40b/r/DN
Requiredet Backs In Foot
North 2.5 (South W I East 51
(West 101
Size of Parcel a
SI go /50
Zone Classification
Are -PI .- Sub •
ZIP
rZ.O�
Type Const.
WO FE.
Occupancy
Sprinklered
❑Yes t -o E Req'd.
CHANGE OF USE FROM
TO
Valuation ' A0
n
DWL Area., 1 Basement Area
254 I
Split Entry
Building Area in $q. Ft.
Garage Area
Split Level
Storage
Rancher
aN LE LEVEL
TYPE 0 NEW
7. OF gyp{
WORK /�LBLD.
O ALT. XAD N.
❑ RPL.
❑ PLMB. 0 MECH: ❑ M.H.
❑ MVE.
❑ POOL
0 OTHER
No. Baths
No. Floors
No. 2_Rooms
Rec. Room
CERTIFICATE -
of EXEMPTION
Req'd.
Re 'd.
Not Req'd.
s. , A.JS y a pON of /2x2'2 ' 4001770A1 TE P i 0ENGG
/(VALUATION a
9. 40 96
I hereby certify that I have read and
on reverse side, and know the same
type of work will be complied with
to give authority to violate or cancel
performance of construction.
DATE 10/3/e5 l
Source
of
Utilities
GAS
ELECTRIC
WATER
'SEWER
OL i SITE
examined this application and have read the "NOTICE" provisions included
to be true and correct. All provisions of laws and ordinances governing this
whether specified herein or not. The granting of a permit does not presume
the provisions of any other state or local law regulating construction or the
SPECIAL APPROVALS
DEPT- REQ'D.
REC'D.
SIGNATURE I -
Env. He
Planning
Fire Marshall
Co. Engineer
Utilities
Zone Clearance
SEPA Checklist
SPECIAL CONDITIO
41.14.- (flat 0 /CC Q -5-8
PLANs Wier -rbm PosZLLu,4rr
DATE OFFICIAL/CA-01 cfCla
APPROVED FOR ISSUANCE
FEES COLLECTED
Single
Building
Plumbing
Mech.
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL $ GO
02* *6200
*6200
*6200
' *000 E
A
14Q52
10=03-80
2 6479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS CO ES;APE MIT. f'
P. 7, 7t 811: 1'56.85 *'620 02.1-2
5
O
UJ
0-
01
M1551C)U QVF
PL. - 90'.01
0 51 X. TTPCGtZnH-ly 15
L3ICLU J ter.
51 f L LI