Loading...
1980, 01-29 Permit: 80-686 Insert PLAN NUMBER APPLICATION/PERMIT PERMIT NUMBER SPOKANE COUNTY — BUILDING CODES DEPARTMENT NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509) 456-3675 DATE APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 4 COPIES c d * s i. 1) 0 JOB ADDRESS LEGAL DESCRIPTION — SEE ATTACHED x 7, {` `` 1. 4----, /'9/. 6- \5094/e,} /�N%lllc=�es * 7 0 G LOT BLOCK SUBDIVIS ON PARCEL NUMBER/S 2. E Q. U C: 1) PHONE 3. D/!' R il / Div v/ S 9a8.4079=3Z 6 <' 5 ADDRESS ZIP Required Set Backs in Feet q 6/9/O5 Spm,99e9 , / 9e /6 North (South East (West CONTRACTOR PHONE Size of Parcel Zone Classification c 6 1 7 9. 4' ADDRESS ZIP Type Const. Occupancy Sprinklered ❑Yes ENo ❑ Req'd. DESIGNER PHONE Valuation Building Area in Sq. Ft. 5' ADDRESS ZIP DWL Area Basement Area Garage Area Storage CHANGE OF USE FROM TO Split Entry Split Level Rancher 6. No.Baths No. Floors No. Rooms Rec. Room TYPE Ai NEW ❑ ALT. ❑ AD'N. ❑ RPL. ❑ MVE. 7, OF 0 OTHER WORK ❑ BLD. ❑ PLMB. X MECH: ❑ M.H. ❑ POOL CERTIFICATE Req'd. Rec'd. Not Req'd. of EXEMPTION DESCRIBE WORK FEES COLLECTED 8. .�/1s `AJ/I�ie/J lt �cthy OUB�c/ nto-ee, VALUATION Source GAS ELECTRIC WATER SEWER 9. 4/v1.2..2.- 0 4,, of . ilf 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 . not. le granting of a permit .oes not presume to give authority to violate or cancel the provisions of any oth-r state or local law regulating I. truction or the performance of construction. �I� Plumbing DATE /�9//p SIGNATURE I ai(/L�7 a , '� Mech. 76' SPECIAL APPROVALS SPECIAL CONDITIONS: DEPT. REQ'D. REC'D. Plan Check Env.Health ,'r SEPA Planning i Mobile Home ..' Fire Marshall -- Co. Engineer Other (Specify) Utilities TOTAL $ _ 7� Zone Clearance WHEN MACHINE VALIDATED IN THIS SPACE, SEPA Checklist it."_ 111111111 a , THIS CO ( AgEIRMIT.Ul d 8,6d * 7. 0 O H DATE OFFIC1s _ "',VED FOR ISSUANCE