1980, 02-28 Permit: 80-1614 Residence, Renewal of M7340 a
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PLAN NUMBER APPLICATION/PERMIT PERMIT NUMBER
• SPOKANE COUNTY — BUILDING CODES DEPARTMENT 74—lh/f
NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509) 456-3675
DATE --2R-gd
APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 4 COPIES
JOB ADDRESS
pp //tet ,�� LEGAL DESCRIPTION - SEE ATTACHED
1 �O ojBLOCK ✓SUBI IVI ION . PARCEL NUMBER/S /9,5-. 3-ob'a�
2. 7 'EJ 144.1a ..,t , /..,,a '4A
OWNER ® PHONE I�.tJT �`"�
3. AC_Att' 13 q2-g"-.1.3.5"I VERU H/4,4,5 jrS ,-049
p�ADDRESS ZIP Required Set Backs in Feet
L k 7/ .c �� l'.,� , qr/zoo Northr3/01 'South 56 1 East3.j' (West/
CONTRACTOR PHONE Size of Parcel Zone Classification
i p
4. 24.4414 / x 143.3 a .. _..2_,,i
ADDRESS ZIP Type Const. Occupancy Sprinklered
,244_,,,A , ❑Yes ❑No ❑ Req'd.
DESIGNER PHONE Valuation Building Area in Sq. Ft.
5. Jab _
ADDRESS ZIP DWL Area I Basement Area r Garage Area Storage
CHANGE OF USE FROM TO Split Entry Split Level Rancher
6. X
No. Baths No. Floors No. Rooms Rec. Ro m
TYPE ciLNEW ❑ ALT. ❑ AD'N. 0 RPL. 0 MVE. 1
7. OF 0 OTHER - O v
WORK E BLD. 0 PLMB. 0 MECH: 0 M.H. 0 POOL CERTIFICATE Req'd. Rec'd. Not Req'd.
of EXEMPTION
D SCRI.BE WORK
8.
%�'/ ,(1 _Q a FEES COLLECTED
zereta
V LO L 5 urce ,( •LGAS ELECTRIC WATER SEWERR
9, p ac=- of
p Q Oat Utilities 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 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 the
performance of construction. Plumbing
DATE Z- 02.5.-"FD SIGNATURE_ Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS:
. 1J�y/1_
DEPT. REQ'D. RECD. ��/lp/4 AZ'. .�442-.,,SK,, .4.1�!,(i44 Plan Check
E v. ealth ����,��-f/ I
�lA.6r. J�i�'G ' �• 11144414:4-1/i*M- 7z3 0 SEPA o
Planning �I'/ ����KLr"'_____ Q - c,
Fire Marshall i.�Q;tf� .�f�1Z Mobile Home 7
Co. Engineer Other (Specify)
Utilities atet_t_t �j�.5-7
„T TOTAL $
Zone Clearance
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist o2—2. - Y-Q �LZ/ THIS(�+E�COME A PpERMIT. 1 L /�
lR'p°rn ANTI • DATE OFFICIAL `� U L I,2 X 8 0 161. 4 z i 13 7. 0 0 2 i-
L APPROVED FOR ISSUANCE -