1980, 04-21 Permit: 80-3722 AdditionPLAN NUMBER APPLICATION/ PERMIT PERMIT NUMBER
SPOKANE COUNTY — BUILDING CODES DEPARTMENT U -3 7a 4Z
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
TYPENo. Baths No. Stories No. Rooms No. of Dwellings
❑ NEW ❑ALT. ❑ AD'N. ❑ RPL. ❑ MVE.
], OF OTHER Req'd. Recd. Not Req'd.
WORK
1:1 BLD. ElPLMB. ❑ MECH. M.H. El POOL CERTIFICATE
aL of EXEMPTION %`
ESCRIBE WORK 5 J Enum. Dist. Location (Area)
� FEES COLLECTED
87,:!7
,k VALUATION I SOURCE GAS ELECTRIC WATER SEWER Ownershiple USE CODE
9. �d 14 UTILITIES Public EI Pr l� , )
Single $ �'i/
I hereby certify that I have read and examined this application and have read the "NOTICE" provisions included le
on reverse side, and know the same to be true and correct. All provisions of laws and ordinances governing this Building
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. SEEj REVERSE SIDE FOR REQUIRED INSPECTIONS / Plumbing
rIATF (1C ODDI IrATlrlrl / y / �r Cl/_AIATI IDC r%C ADDI I! AKIT//-1 I O / ! l'/ Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE n -t Plan Check
�? Vi ��-1--�orf1K t•C i
Env. Health
Planning (—/pp�I/Jy.
SEPA
Fire Marshall ,Q�!�'ry'"""'� ��'" o�, �fW+G•�-z/) Mobile Home
Co. Engineer Other (Specify) 7
Utilities
TOTA L _
Plans Examiner
02* *44.00
*41x.00
*4Q00U
C *0.00
3721
04-21-80
6,479,
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
ling Te,4. nicia PERMIT IS NONTRANSFERABLE * 4 4. a -j
_ rii'_ F, �! �- n 'A,L,) ,) 1& 1 3 7 2 2
APPLICANT:
COMPLETE NUMBERED SPACES - PRESS
HARD TO MAKE 3 COPIES
JOB ADDRESS
.,
LEGAL DESCRIPTION - SEE ATTACHED
LOT
BLOCK
PARCEL NUMBER/S�_�S-• 3/����
2.
I
151BIVISION
r
OWNER
PHONE
3.
-6L?-?9
0A 10ARK A QP
ADDRESS
ZIP
Actual Set Backs in Fee
d
l
North South
East West
CO TRACTOR
PHONE
Size of Parcel Zone Classification
4.
A DRESS
ZIP
Type Const.
Occupancy
I Sprinklered
❑Yes [-]NoElReq'd.
DESIGNER
PHONE
Valuation
Building Area in Sq. Ft.
5.
ADDRESS
ZIP
Main Floor
Upper Floors
Garage Area
I Storage
CHANGE OF USE FROM
TO
Area of Decks
Finished Basement
Unfin. Basement
6.
1
7-5-4
TYPENo. Baths No. Stories No. Rooms No. of Dwellings
❑ NEW ❑ALT. ❑ AD'N. ❑ RPL. ❑ MVE.
], OF OTHER Req'd. Recd. Not Req'd.
WORK
1:1 BLD. ElPLMB. ❑ MECH. M.H. El POOL CERTIFICATE
aL of EXEMPTION %`
ESCRIBE WORK 5 J Enum. Dist. Location (Area)
� FEES COLLECTED
87,:!7
,k VALUATION I SOURCE GAS ELECTRIC WATER SEWER Ownershiple USE CODE
9. �d 14 UTILITIES Public EI Pr l� , )
Single $ �'i/
I hereby certify that I have read and examined this application and have read the "NOTICE" provisions included le
on reverse side, and know the same to be true and correct. All provisions of laws and ordinances governing this Building
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. SEEj REVERSE SIDE FOR REQUIRED INSPECTIONS / Plumbing
rIATF (1C ODDI IrATlrlrl / y / �r Cl/_AIATI IDC r%C ADDI I! AKIT//-1 I O / ! l'/ Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE n -t Plan Check
�? Vi ��-1--�orf1K t•C i
Env. Health
Planning (—/pp�I/Jy.
SEPA
Fire Marshall ,Q�!�'ry'"""'� ��'" o�, �fW+G•�-z/) Mobile Home
Co. Engineer Other (Specify) 7
Utilities
TOTA L _
Plans Examiner
02* *44.00
*41x.00
*4Q00U
C *0.00
3721
04-21-80
6,479,
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
ling Te,4. nicia PERMIT IS NONTRANSFERABLE * 4 4. a -j
_ rii'_ F, �! �- n 'A,L,) ,) 1& 1 3 7 2 2