1980, 04-08 Permit: 80-3240 ResidencePLAN NUMBER 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 N/ A
5 �15�- LEGAL DESCRIPTION —SEE ATTACHED
LOT BLOCK SUBDIVISION PARCEL NUMBER/S�
2.
3. OWFEL�' L/ P
ADD ESS
No 1�;Z 1�
CONTRALTO
4. ADDRESS
PHONE B(O+8
P
Actual Set Back l
in Feett I
North South ✓ East ;;X -r— West o
PHONE
Size of Parc-7el
Zone Cl ssification
ZIP
ar
Upper Floors
ZIP
T,fyppee Const.
Occupancy
Sprinklered
w
15-7
❑Yes ❑No ❑ Req'd.
DESIGNER
PHONE
Valuation
57,900
Building Area in Sq. Ft.
5.
ADDRESS
ZIP
Main F cto
Upper Floors
Garage Are
Storage
w
15-7
,
CHANGE OF USE FROM
TO
Area of Decks
Finished
Basement
Unfin. Basement
6.
TYPE �
❑ ❑ ❑ ❑
No. Bates
No. Stories
No. Rooms
No. of Dwelling
C7� RPL. MVE.
NEW ALT. AD'N.
7, OF / ❑ OTHER
BLD. ❑ PLMB. ❑ MECH, ❑ M.H. ❑ POOL
CERTIFICATE
Req'd.
Recd.
Not Re
WORK
of EXEMPTION
I
DESCRI E WORK
�AL Y
Enum. Dist.
Location (Area)
FEES COLLECTED
8 Lt
'V CW/ATER(,I
VAL}JATI N SOURCE GA E ECT IC Ownership SEWER USE CODE
/��j��I
9. UTILITIES �')ti l� le, ❑Private
Single $
1 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
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
SEER/EV}ERSE SIDE FOR REQUIRED INSPECTI S
performance of construction. SEE
/{U
MATC nC ADDI Jf ATInl\l 1d 1 / q CIr KlATI IDC n17 ADDI Il A- t//W\
Plumbing
Mech.
SPECIAL APPROVALS
NAME DATE
O M,v �/i
Inning
re Mar
Plans Examiner
SPECIAL CONDITIONS:
M-Ak,;, tk�A4ftfw
MIL- L -To &-I —11-6N W N EN Afff-0 V �-P 13/
o�
Plan Check
SEPA
Mobile Home
Other (Specify)
PER MI t NUMBEF
8D' 3Z40
02* *307.00
*307,00 C
*30�:00Y
F *0,C
31 L4.LJ<
04-07-30
6.479,
TOTAL $ (5-7.Oc+
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
ngTec cian_ PERMIT IS NONTRANSFERABLE r (n.._ nR- IR (i
1