1980, 10-27 Permit: 80B-2718 Siding APPLICATION/PERMIT PERMIT NUMBER
PLAN NUMBER -aoe �� I
/0/27/rd SPOKANE COUNTY - BUILDING CODES DEPARTMENT
l / NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509)456-3675
APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3 COPIES
02 3800
JOB ADDRESS LEGAL DESCRIPTION - SEE ATTACHED
1
LOT i BLOCK SBDIVISIOilo Sh N/ PARCEL NUMBER/S * 3 R 0 O
2.
OWNER * 0.0 0 C7
PHONE '1 r�
3. J T S s.2 ,3-r, 9, ?-50L1-6, 2 7 1.7
ADDRE S ZIP Actual Set Backs in Feet
S , 1' „o sharp ggaj, North (South East (West 1 0-2 7-8 0
4 CThG / Bra ers PHONE q Size of Parcel Zone Classification
`gyp 6479•
ADDREP
/J, 3/O10 rC{Dnr2� lewd Zt Q'/�/ Type Const. Occupancy Sprinkle red
�/ 6l_/�J`i.i{O Elves ❑No ❑ Req'd.
DESIGNERPHONE Valuation Building Area in Sq. Ft.
5' ADDRESS ZIP Main Floor Upper Floors Garage Area Storage -
CHANGE OF USE FROM TO Area of Decks Finished Basement Unfin. Basement
6.
No. Baths No. Stories No. Rooms No. of Dwellings
TYPE El NEW ❑ ALT. 0 AD'N. 0 RPL. 0 MVE. x,(
7, OF LA OTHER -
CERTIFICATE Req'd. Recd. Not Req'd.
WORK 0 BLD. 0 PLMB. 0 MECH. ❑ M.H. ❑ POOL s
RQ�xt,l r of EXEMPTION
DESCRIBE WORK ! Enum. Dist. Location (Area)
8 FEES COLLECTED
IVALUATION SOURCE GA ELECTRIC WATER SEWER Ownership USE CODE
9• r/%i(/,00 UTILITIES Public 0 Private 0 Single $gf`aD
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 Building
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 e
performance of construction.SEE REVERSE SIDE FOR REQUIRED INSPECTIONS Plumbing
Zel .
DATE OF APPLICATION UQSIGNATURE OF APPLICANT Mech. •
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE Plan Check
Env. Health
SEPA iL.
Planning
.3r
-
Mobile Home --I
Fire Marshall u.•
Co. Engineer Other (Specify)
Utilities
TOTAL $.3i
Q IOn
Plans Examiner
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist THIS BECOMES� A PERMIT.
5i....,ld`ing Te n;c PERMIT IS NONTRANSFERABL rl 2^r/:'� 8°� 2`'71 8 z �3 8.0.0,°'i-
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL
F