1980, 12-05 Permit: 80B-4518 Residence (PLAN NUMBER ,f APPLICATION/PERMIT PERMIT NUMBER p
' `c 2
— 1'/ I ��j�/�� SPOKANE COUNTY — BUILDING CODES DEPARTMENTPio 8 4-12 (c)
e./ NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509)456-3675 r
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
JOB ADDRESS LEGAL DESCRIPTION — SEE ATTACHED 1 "r"
1. S. 4-1-ZZ, NbC2Z. 131 (-J !,' '_', I-
LOT BLOCK SUBDIVISION PARCEL NUMBER/S x
2. C. Z Pitt.rvperr2-r ek ,Act /'rw ApA, * 3 1 C 0 0 Y
OWNER PHONE
3. `aeI� Al, "-re k 5 C.40/47. CaCip.-!3`Z i C _ 32 54'S -0-z.® ;` * `', C
/�N
ADDRESS ZIP Actual Set Backs in Feet
27
EX 14' c a £I E3.N E. N North 1QS (South dr01 East /�a 1 Ll J(',,7
�l'� GYI (West td
CONTRACTOR PHONE Size of Parcel Zone Classification 1 2_C 1 -8 0
4.
Arne i38XZfaCS A S(
, .4ecikisprV 6474.
ADDRESS ZIP Type Const. Occupancy Sprinklered
aill 10 `V-_5 ❑Yes No ❑ Req'd.
DESIGNER PHONE Va tion Building Area in Sq. Ft.
5. P5eS'S2- 11153CD
ADDRESS ZIP Main Floor Upper Floors Garage Area Storage -
1`Ary 4i4 —
CHANGE OF USE FROM TO Area of Decks Finished Basement Unfin. Basement
6. _" Ism
No. Baths No. Stories No. Rooms No. oDwellings
TYPE "I! NEW D ALT. 0 AD'N. 0 RPL. 0 MVE. 4s f
7. OF / ❑ OTHER -
WORK L!1 BLD. 0 PLMB. 0 MECH. CIM.H. ❑ POOL CERTIFICATE Req'd. Rec'd. Not 9q'd.
of EXEMPTION v
DESCRIBE WORK Enum. Dist. Location (Area) FEES COLLECTED
8. /A/4L.E FANL fL�1 •kG-s; crvc. . saRAG1c uIv=Js2
VALUATION SOURCE GAS ELECTRIC WATER SEWER
Ownership USE CODE
�/
9.5131S:52- UTI LITIES Sep-(1 G Public 0 Private LrJ / 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 '� o..
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 toaw regulatingconstruction or the
performance of construction.SEE REVERSE SIDE FOR REQUIRED INSPEI `r NS Plumbing
DATE OF APPLICATION 11,- 1 — SIGNATURE OF APPLICA I Mech.
f
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE IrskJ.:. 4%0 i<- Plan Check
Env ealth TRA SS PIACig MS 'To 3E. S
4$1111`7"r(cp -z-'v -Ma. L I, yr /671
l Z Li)OhielZ•, c'°NTAhc-ToR ANO £PO A (..cl,(N-tY t?ulLDiNG cook'.5 SEPA r
o_
Planning BY TME Ti21A-5S MAN AFAc-71.1F.F F0(Z AlE(AE„e4): pi2,1as., 7o
112-1.1 S IN s-rALLA71oN-
Fire Marshall Mobile Home
CC
21. E •neer �L�� k
ent / �Y � r,{Y-1 \ Other (Specify)
kfi_CI L,1
Utili ies
TOTAL $510. fop
Plans Examiner
"To 10 r6S71.0(NA r /?/2/Pc' WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist THIS BECOMES A PERMIT.
Building Technician 0
PERMIT IS NONTRANSFERABLE '12, f15',,I'8,EO p -
4'51.8z *31QOOa0
S aft c." f 2.! //� PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL.
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