1980, 12-10 Permit: 80B-4738 DuplexIPLAN NUMBER
j, R -47S
1-0I
i_._
���%o 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
1. E • 1 O81 to -18 Nos a
LQT BLO K SUBDIVISION
2. /
OWNER
3.
PAI
ADDRESS
&. FoltC.
CONTRACTOR
S 00101-C
ADDRESS
LEGAL DESCRIPTION — SEE ATTACHED
(Y\'sc.tons "1?tP4e tgT
PHONE
G AT 9zzz� -za48
ZIP
Fisarter
4q
PARCEL NUMBER/S
Actual Set Backs in Feet
North fig (South
East ZSi
2
West ('
PHONE
ZIP
Size of Parcel
rjo X 145.
Occupancy
Type Const.
Zone Classification
11144L.rt Fnmlc-44
❑Yes
Sprinklered
❑No 0 Req'd.
DESIGNER
PHONE
ADDRESS
ZIP
at
Vatyion Building Area in Sq. Ft.
f7.7I,0o8 80
Garage
Area
S?
Main Floor
l8za
Upper Floors
Storage
CHANGE OF USE FROM
6.
TO
TYPE
7. OF
WORK
ElALT.
0 PLMB.
❑ AD N.
❑ MECH.
❑ RPL.
❑ M.H.
❑ MVE.
❑ POOL
0 OTHER
Area of Decks
`240 (J1k-',)
No. Baths No. Stories
4
Finished Basement
11U4+-
Un =in. Basement
No. Rooms
(04,
No. of Dwellings
CERTIFICATE
of EXEMPTION
Req'd.
Recd.
Not r3eq'd.
DESCRIBE WORK
B• -buR6>c
VALUATION
977 se
SOURCE
OF
UTILITIES
GAQ,PL7Fs CAN DER
GAS
ELECTRIC .
Enum. Dist.
Location (Area)
WATER
SEWERy�
Ii'f r!L
Ownership
Public ❑Private
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 /L ^
DATE OF APPLICATION t 2 1� hi/ SIGNATURE OF APPLICANT
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE
Env. Health
lanai Ofi
!%o
Fire Marshall
Co. Engineer
D Itle ytRPPl:i�,3%o rcRnftl
7 A°.entact Cannty Emil
Plans Examiner
SEPA Checklist
uilding Technician
REQUIRED"
es Office
PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
FEES COLLECTED
Single $
Building 344 'too
Plumbing
Mech.
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL
PERMIT NUMBER
Sc;�4=0-7 58
02•* '*349.00
*349,00 N
*349.006
*000
47358
12-110-80
6479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
l721.i:11(BIu iB!o1
47481'. 4,•;.3.4 F
DATE ISSUED • PERMIT NO. TOTAL
NOVO OV" 4Ve hU c
So- t.),d ft,
Lo -F 4- glocl< 1 mbscior ArI). 4,on
L
J62:080U
IJ
I\ a 0
r6 •u;s i b:' 42; I2
P3Z7
20'