1980, 11-24 Permit: 80B-4117 Soffit, Fascia/yav/4o 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
LOT /BLOC
I0
CO
K
3.
OWNER
S,morou) 2trid,
SUBDIVISION AV>IO • to orrictud
PHONE
1414 -0207 /
"t-ta o�
ADDRESS
mnrroi3 eoa&
LEGAL DESCRIPTION - SEE ATTACHED
PARCEL NUMBER/S tp4) 01 f d
ZIP
R v -/G
Actual Set Backs in Feet
North I South (East 'West
4.
5.
C NTRACTOR
C Va-`1 satiA tAJ
ADDRESS
AJ 3-/% /4-r-onni PtakL.
DESIGNER
PHONE
gag-ijj084
Size of Parcel ' 1 Zone Classification
=IP99ao%
Type Const.
Occupancy
Sprinklered
Dyes DNo 0 Req'd.
PHONE
Valuation , _ 60 Building Area in Sq. Ft.
ADDRESS
ZIP
Main Floor
Upper Floors 1 Garage Area
Storage
CHANGE OF USE FROM
6.
TO
Area of Decks
Finished Basement
Unfin. Basement
TYPE
7. OF
WORK
D NEW
BLD.
D ALT. 0 AD N. 0 RPL. 0 MVE.
D PLMB. 0 MECH. 0 M.H. 0 POOL
2 ^OTHE
.R
U - R
No. Baths
No. Stories
No. Rooms
No. of Dwellings
CERTIFICATE
of EXEMPTION •
Req'd.
Rec'd.
Not Req'd.
DESCRIBE WOR
8. 7770- CELL'
+
VALUATION
9. agao, Oo
SOUR
OF
UTILITIES
GAS
Enum. Dist.
Location (Area)
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
�� ��REVEERSE SIDE FOR REQUIRED INSPECTIONS y/
DATE OF APPLICATION �I//'�fV o SIGNATURE OF APPLICANT
SPECIAL APPROVALS
NAME DATE
Env. Health
Planning
Fire Marshall
Co. Engineer
Utilities
fans Examiner
SEPA Checklist
�eu9 Telpn c 110'0
SPECIAL CONDITIONS:
PERMIT IS NONTRANSFERABL
PERMIT EXPIRES ONE YEAR FROM DATE OF SUANCE
FEES COLLECTED
Single.. ' $3b .`"`-'
Building
Plumbing
Mech.
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL $
3$t trtt
PERMIT NUMBER
ao•& +I17
02* *3aoo
*3800
*38006
A *GOO 8
4;1 1.68
11-24-80
8 6479.
0
V
LtJ
LL
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
.r I 4R:O'Z • 3'8.0.0 -
DATE ISSUED PERMIT NO. , \ TOTAL 4.r-