1980, 05-16 Permit: 80-4880 Residence PLAN NUMBER APPLICATION/PERMIT PERMIT NUMBER
g.4 SPOKANE COUNTY — BUILDING CODES DEPARTMENT 4 cbC)— ��0
NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509)456-3675
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
JOB ADDRESS 022 * * 31 9,00
LEGAL DESCRIPTION — SEE ATTACHED
1. 5.Az t3 SLkiiv®6(Z4,,,ANb . * 3 1 9.0 0 N
LOT BLOCK SUBDIVISION PARCEL NUMBER/S
2. 8 Z Pt7P,3)�2c�Sie. `7T(- * 3 1 9.0 0 6
OWNER PHONE E * 0 0 0 E
3. ANT)-2E v..) M . `C is 5 Qz‘..-83iZ. 3Z5"4s-,c5io -cc, cD c .
ADDRESS A /� ZIP Actual �S,etBacks in Feet 48 7 9 2
SOX 14(Oi S�P0K.4(QE Qci244 North j 4I 'South is& East tall 'West ZC't
CONTRACTOR PHONE Size of Parcel Zone Classification 0 5- 1 6—8 0
AIMTCr) V1nE I iL\C. 4CCc2t.Sum 4%i ''-.6,4 7 9.
4' ADDRESS ZIP Type Const. Occupancy Sprinklered
•Pi C V-'N F..,-3 ❑Yes ❑No ❑ Req'd.
DESIGNER PHONE Valuation Building Area in Sq. Ft. el
5. "'GP Z 00 v.,-
- '300(.1 --Sc50` LIC
ADDRESS ZIP Main Floor Upper Floors Garage Area Storage -
II es' 712- 52-48 r—.
CHANGE OF USE FROM TO Area of Decks Finished Basement Unfin. Basement
6.
•••
6. 181
TYPENo. Baths No. Stories No. Rooms No. of Dwellings
❑ NEW ❑ ALT. ❑ AD'N. El RPL. 0 MVE. Cj 'Z_ C
7. OF ❑ OTHER -
WORK ❑ BLD. ❑ PLMB. 0 MECH. 0 M.H. 0 POOL CERTIFICATE Req'd. Rec'd. Not Req'd.
of EXEMPTION V
DESCRIBE WORK Enum. Dist. I Location (Area) '
8 Slti4��= F.A(htL'{ RC-5‘OClvLL. -» I FEES COLLECTED
VALUATION SOURCE GAS ELECTRIC 1W TER SEWER OwnershipUSE CODE
9. 64r OF
/COQ,—"g UTILITIES 'p 1 lG Public ❑Private 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 ' 311,00
type of work will be complied with whether specified herein or not, The granting of a permit does not presume Building
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 INSPE,!NS —" Plumbing
I,
DATE OF APPLICATION r-eCI SIGNATURE OF APPLICA'. p4.- ILA. L,kr- Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS: /� ,
NAME DATE 4-1e NSE OK 02? Plan Check
C_telze?/ ..-:-.577SEPA a
i'D
Planning C.)
- w
Fire Marshall Mobile Home --I
Co. Engineer 9
$ 3(9Other(Specify)
Utilities .'..s,I etIV4Ii E'',. ,'"' (]
a TOTAL 000
Plans Examiner �i
lb IA PO ''c1- 14-r 5/f 4 WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist THIS BECOMES A PERMIT.
Bui in echnnici n F PERMIT IS NONTRANSFERABLE 0�5r-'1 6 -8'0 4 8 8.0 z * 3 1 9.0 0 ° �-
T` J �� PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL
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