1980, 12-10 Permit: 80B-4740 Duplexc
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
1.
2.
3.
4.
JOB ADDRESS
E. log0.6-0Co
LOT
t
OWNER
C.2 fkg=4
ADDRESS
E. toi2c.
CONTRACTOR
ADDRESS
BLOCK
Naze,
LEGAL DESCRIPTION - SEE ATTACHED
SUBDIVISION
MbSStO,J RtcncaC
UST
10 -re -1
PHONE
Q Zt3-Zc1Q'$
PARCEL NUMBER/S
6gs4g-1802
freezer
ZIP
614ZOC
Actual Set Backs in Feet
Becks
North 3S 'South
East 12— (West is
PHONE
Size of Parcel - Zone Classification
90 X- 165" IV1 t t T1 Ficumiev
ZIP
Type Const.
Occupancy
Sprinklered
Dyes DNo 0 Req'd.
5.
6.
DESIGNCCR
PHONE
ADDRESS
CHANGE OF USE FROM
ZIP
Val t''11
iorn p
111008
Main Floor
t
Building Area in Sq. Ft.
IroSo
Upper Floors
Garage Area
5-140
Storage
TO
Area of Decks
246 (u a, )
Finished Basement
1%04
Unfin. Basement
7.
TYPE
OF
WORK
❑ ALT.
D PLMB.
D AD N. 0 RPL. 0 MVE.
D MECH. 0 M.H. D POOL
0 OTHER
No, Baths
49.
No. Stories
1
CERTIFICATE
of EXEMPTION
No. Rooms
T
No. of Dwellings
z.
Req'd.if
Rec'd.
Not Req'd.
DESCRIBE WORK
8. 'lbLAVC
VALUATION
94tI0c S
�o,YZAC�F5 L.(Wli bra.
SOURCE
OF
UTILITIES
GAS
ELECTRIC
Enum. Dist. I Location (Area)
WATER
Se -enc. Fen G
Ownership ail USE CODE
Public 0 Private
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. S E ' EVERSE SIDE FOR REQUIRED INSPECTIONS /^ '
e SIGNATURE OF APPLICANT S
DATE OF APPLICATION
SPECIAL APPROVALS
NAME DATE
Env. Health
♦/ Z /o
Planning
Fire Marsha
Co. Engineer
Utilities
Plans Examiner
SEPA Checklis
Buildm• Techniclan
SPECIAL CONDITIONS:
Thv,u C Ee.Cao '47/79 ay }bs,Lsu.nJr,
"APPRO11CIt PERMIT REQUIRED"
Contact County Engineer's Office
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 $ S4Ct�Oa
PERMIT NUMBER
02* *349.00
*349,00 V)
*349.006
A *000 8
473.32
12-10-80
2 6479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
21:,74;Uj 8,101
DATE ISSUED
47,40'Z',34900a°g -
PERMIT NO.
TOTAL
. _e
I V ! f' • :071 VC n
0
• 7
582:0800.5.`5
- 1o=
.5
13-75 srj. f4.
duplex
f
N
C70 00
.21
1"- 20'