1980, 10-02 Permit: 80B-1287 Addition (PLAN NUMBER„. APPLICATION/PERMIT PIaRMIT NUMBS..
999
SPOKANE COUNTY — BUILDING CODES DEPARTMENT 18QB- (28:77
(td) jam/ L NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509)456-3675
APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3 COPIES
JOB ADDRESS 0 G * * 8 O.0 0
N jazz S7vur LEGAL DESCRIPTION - SEE ATTACHED F
1. * 80.00 rn
LOT BLOCK SUBDIVISION PARCEL NUMBER/S
2. 5 / AR/9 Scary(-7 /x.0,0. 2 7-e. {,r, * 8 C 0 0
OWNER PHONE
3. Crr ie✓ 6004,1) C/241-‘799 /7z: e/'-iii;” A * 1 00
ADDRESS ZIP Actual Set Backs in Feet
N. /02z. .'Taut' Q�g
[�(zO6 North GS° (South ZJ, East 7471 (West 1 2 8:6
CONTRACTOR PHONE Size of Parcel Zone Classification n
10-Oc'i-80
a. 3. f.' cc'. eoti5rr'uGTlon' 417Z—Z-74,/ Wrjr 1'I/ S"t Fifin i6 y
ADDRESS ZIP Type Const. Occupancy Sprinklered z 6 4 7','.
//4006 G-. �7 TH 9 z c Oyes ❑No D Req'd.
DESIGNER PHONE Valujon Building Area in Sq. Ft.
5. 9960® 39'6
ADDRESS ZIP Main Floor Upper Floors Garage Area Storage
40
CHANGE OF USE FROM TO Area of Decks Finished Basement Unfin. Basement
6. ---
TYPE �/LTJ
❑ No. Baths No. Stories No. Rooms No. of Dwellings
NEW ALT. AD'N. ❑ RPL. 0 MVS. /
/ /
7. OF WORK ❑ BLD. 0 PLMB. 0 MECH. 0 M.H. 0 POOL ❑ OTHER CERTIFICATE Req'd. Recd. Not Fleq'd.
of EXEMPTION
DESCRIBE WORK Enum. Dist. I Location (Area) FEES COLLECTED
8. l9A.0iTi2.•'v to ?ESS, AdCM 1
VALUATIG,
1jK SOURCE GAS ELECTRIC WATER SEWER
S OF Ownership USE CODE
9. Scab UTILITIES /�'-/C Public ❑Private 0 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 #.60•dd
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 Plumbing
DATE OF APPLICATIONI.��j=/— J?_,Z, _E SIGNATURE OF APPLICANTMech.
L-722(..-1e----)
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE C./CEIUSC� 6fl 9g, Plan Check
Env. H I
-4iff /30 SEPA
Planning CD
U
14-1
Fire Marshall Mobile Home
ti
Co. Engineer Other (Specify)
Utilities
TOTAL $ -0z
Plans Examiner J)
1�OS 1 k,4 7' 72.3WHEN MACHINE VALIDATED IN THIS SPACE,
EPA Checklist THIS BECOMES A PERMIT.
Buildin Technician /� PERMIT IS NONTRANSFERABLE 0 .4 0 2-t-8 0 1 2 8.7 z *.8 0, 0 0 (0)_ 171-
�'� SJ23 9/i9 PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL
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