1980, 05-19 Permit: 80-4901 Siding, Soffit, FasciaPLAN NUMBER. --1.
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 2615
5 Sic N
LEGAL DESCRIPTION - SEE ATTACHED
LOT
2.
OW R
3.
ADDRESS
5a ryl c -
CONTRACTOR
4 �
A RESS //
/.3/06
DESIGNER
5.
BLOCK
SUBDIVISION J
6/a.Uv S EC//•//ovf
PHONE
9z5<—P3 / z
ZIP
772D6
PARCEL NUMBER/S
07 silt/- 0606
Actual Set Backs in Feet
North 'South East - 'West
firolA cvs Co/n t-ac4c
N
AY 9oN r /C �/
PHONE
928-16 8-
Size of Parcel 1 Zone Classification
ZIP
9920
Type Const.
Occupancy Sprinklered
❑Yes - ONo 0 Redd.
PHONE
Valuation I Building Area In Sq. Ft.
ADDRESS
ZIP
Main Floor
Upper Floors 1 Garage Area
Storage
CHANGE OF USE FROM
TO
Area of Decks
Finished Basement
Unfin. Basement
TYPE
7. OF
WORK
❑ NEW
O BLD,
O ALT.
❑ PLMB.
O AD N.
❑ MECH
❑ RPL.
❑ M.H.
❑ MVE.
❑ POOL
geP0.1 Y"
OTHER
No. Baths
No. Stories
No. Rooms
No. of Dwellings
CERTIFICATE
of EXEMPTION
Req'd.
Recd.
Not Req'd.
DESCRIBE WORK
8. CIa1 r
VALUATION g()
9. 436r3o
S0-v-nid Fasc/C`
URCE
OF
UTILITIES
Enum. Dist.
Location (Area)
GAS
ELECTRIC
WATER
SEWER
Ownership
Public 0 Private 0
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
SPECIAL APPROVALS
NAME DATE
Env. Health
Planning
Fire Marshall
Co. Engineer
Utilities
Plans Examiner ,
SEPA Checklist
ct$nic
Cti1v1M
SIGNATURE OF APPLICANT
SPECIAL CONDITIONS:
PERMIT IS NONTRANSFERAB
FEES COLLECTED
Single $
Building
Plumbing
Mech.
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL
$ /1150
• J—J rP
PERMIT NUMBERVO^
— 1 lO
k
024 *44,50
*4450 tz
*44506
E *Q00 3
49Q02
65-19-80
4,479.
I
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
b5 .x;971-'.8.0 490,15 •44,50°al-- -
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL
0
2
O
U
lal
J
ti