1980, 04-02 Permit: 80-3031 AdditionPLAN NUMBER - I
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
2.
JOB ADDRESS .
� 8 G 15 N/41 10N
LOT 1 BLOCK SUBDIVISION
LEGAL DESCRIPTION — SEE ATTACHED
OWNER
a. I�AkJ0(7I,pf} U tJ j
ATE.' O / I I tor -1
CONI RAAPX
4.
}2g' 7100
PARCEL NUMBER/S U. 71 A -+ — 0 6 0 6
Actual Set Backs in Feet ,(�
North 'South 3T- [East
Size of Parcel
X 6
IWest 2r�-
Zone Classification
ADDRESS
ZIP
Type Const.
Occupancy
Spri lered
❑Yes 0No 0 Req'd.
5.
DESIGNER
PHONE
Valuation 0gdO Building Area in Sq. Ft.
3
ADDRESS
ZIP
Main Floor
(e,o
Upper Floors Garag Area
Storage
• CHANGE OF USE FROM
6.
TO
Area of Decks
Finished Basement
Unfin. Basement
TYPE , 0 NEW 0 ALT.
7. OF '
WORK. D OLD. 0 PLMB.
L7 AD N.
0 MECH.
O RPL.
❑ M.H.
O MVE.
O POOL
0 OTHER
No. Baths
No. Stories
No. Rooms
No. of Dwellings
CERTIFICATE
of EXEMPTION.
Req'd.
Reed.
Not Req'd.
8. D- j\IBE VyCK FS 0 O AOVj�ic4 \ I I O)
VALVU'�A�/T III OJN SOURCE GAS ELECTRIC WATER WEAR
UTILITIES V/ • W W r
Enum. Dist.
Location (Area)
Ownership
Public 0Private
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 dooees 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 INSPEC
DATE OF APPLICATION / / — g 6 SIGNATURE OF APPLICANT
SPECIAL APPROVALS
NAME DATE
Env. Health
W
Planning
00
Fire Marshall
Co. Engineer
Utilities
PLami r
.411a
SEPA Checklist
ding Te hnlclan •
SPECIAL CONDITIONS:
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 $
P E R MIT'N U MB E'R
02* *4400
*4400 N
*44006
E *000
3030M
04-02-80
A 6479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
DATE ISSUED
305.12 *440 ]]°�
PERMIT NO. TOOL
0-
0
✓
J
(7GO
60 0'
.5P (::—At, e
s{:,kAic
o T
t.1
9.:ur -‘..) iO
Z.- 0 • 0 '
PC 4:4
Polc. I
, , mz,:•;4 1 ei
1,-.4r—. rezt----•-i ,-..
(a Z
w. ic
ti
r
eo'
i<
w
cIJ
?S • r)
3-2
- .?6
,ccfi/i zO
R , LSj
e"
P4