1980, 04-01 Permit: 80-2982 Addition PLARUNGlq 62
r APPLICATION/FERMI ■ 'PERMIT-NUMBER
SPOKANE COUNTY — BUILDING CODES DEPARTMENT — 7--.28
NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509)456-3675
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
JOB ADDRESS 02 * * 50,00
1. 1'7?-17 cJi-i,c, -,r• LEGAL DESCRIPTION — SEE ATTACHED * 5 0 l
LOT BILK SUBDIVIS N LIE" PARCEL NUMBER/S L o T3 Le( !c 'CH
2. �j 10 Abri t �j, AD iTI WO TO Vea-4pryLC= i4-7-5. * 5 O.0 0 c.
PHONE
3. Owr ��G� 0k 7,2(.0-04-98 0.54.2.....2 t�� E * O.0 0
ADORES 11 /. {� F� l�Z-
ZZIIP Actual Set Backs in Feet g.'5".// 2 9 8 1 P.
3 9 I7 V ✓I� 1'�I — %C<+ North az., ISouth63' East - IWest.S!•5'
CONTRACTOR ! PHONE Size of Parcel Zone Classification 0 L(-0 1 -8 0
4. Marv.t N4 Si.s`x izs' 5'+ Le Few',R.v 6 a 7 9,
ADDRESS ZIP Type Const. Occupancy Sprinklered
(/-N 12--3 ❑Yes ❑No ❑ Req'd.
DESIGNER PHONE Valuation a Building Area in Sq. Ft.
X
5. 50 00 x Z2 o
ADDRESS ZIP Main Floor Upper Floors Garage Area Storage —
'it L?
CHANGE OF USE FROM TO Area of Decks Finished Basement Unfin. Basement
6.
TYPE �,( No. Baths_ No. Stories No. Rooms No. of Dwellings
NEW ❑ ALT. Idl AD'N. 0 RPL. ❑ MVE. J
7. OF ❑ OTHER r ,
WORK
I=1 BLD. 0 PLMB. 0 MECH. ❑ M.H. ❑ POOL CERTIFICATE Req'd. Rec'd. NotReq'd.
of EXEMPTION
DESCRIBE WORK Enum.Dist. I Location (Area) '
8. /q IJt�IT(0 Oi= I(ViN( i�iOOrYl TG EK(ST(vuy ESiai/vCt-- I FEES COLLECTED
N
����SOURCE GAS ELECTRIC WATER SEWER USE CODE
IVALUATIO Ownership
-�
9. 7b((7 UTILITIES l,'r/�- c..oM M r . (...1.,=211c." Public ❑Private K Single $
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 r ,
76
type of work will be complied with whether specified herein or not. The granting of a permit does not presume Building
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 e /� Plumbing
DATE OF APPLICATION 3/ R/96 SIGNATURE OF APPLICANT . _,F/1- - Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE 1- 43,4, �(`�A1 Plan Check
E, /t �� W / I SEPA rx_
C)
Planning Y.),--11----91.47 - J
Fire Marshall �yt.��� Mobile Home —I
ii
Co. Engineer Other (Specify)
Utilities
TOTAL $ 561°1'5
Plans Examiner
'MA Pos- .EuMrr /3l WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist THIS BECOMES A PERMIT.
'wildingT-chnician.. PERMIT IS NONTRANSFERABLE 0 4-'.. 0-1'-B 0 2 9 8. 2 °z • * 5 0. 0 0,a IJ- -
`� `'.. PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL