1980, 07-28 Permit: 80-7792 ACPLAN NUMBER APPLICATION/ PERMIT
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
S NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES — PRESS, HARD TO MAKE 3 COPIES
JOB ADDRESS
1. E. / 3 1 / q Tlqu- 'TREE LEGAL DESCRIPTION — SEE ATTACHED
LOT BLOCK bUBDIVISION I PARCEL NUMBER/S
2.
OWNER
3. J ,`RRY vt
ADDRESS
44. /3i/y -r4l-C %RE
CONTRACTOR
4 IYAn/NER riG2/V,9
ADDRESS
ZIP
R /--�'��7
Occupancy
PHONE
I28vao 7
49. Cca
ZIP
DESIGNER
Actual Set Backs in Feet
Valuation
4g
5.
North South
East We
PHONE
ZIP
Size of Parcel
Floors
Zone Classification
�3S-l7�
ADDRESS
ZIP
Type Const.
Occupancy
Sprinklered
N• i q
49. Cca
❑Yes ❑No ❑ Req'd.
DESIGNER
PHONE
Valuation
Building Area in Sq. Ft.
5.
ADDRESS
ZIP
Main Floor Upper
Floors
Garage Area
I Storage
CHANGE OF USE FROM
TO
Area of Decks
Finished Basement
Unfin. Basement
6.
Baths
No. Stories
No. Rooms
No. of Dwellings
TYPENo.
❑ NEW ❑ALT. ❑ AD'N. ❑ RPL. ❑ MVE.
7 OF El OTHER
BLD. ❑ PLMB. �J MECH. ❑ M.H. POOL
CERTIFICATE
Req'd.
Recd.
Not Req'd.
WORK
of EXEMPTION
I
DESCRIBE WORK
Enum. Dist.
Location (Area)
8 1'NST [L>NCr �i2 C )is �S -�L/
FEES COLLECTED
VALUATION
SOURCE
GAS
ELECTRIC
WATER
SEWER
Ownership
USE CODE
9.
UTILOITIES
Public ❑ Private ❑
Single $
1 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. SEE REVERSE SIDE FOR REQUIRED INSPECTIONS
Plumbing
DATE OF APPLICATION SIGNATURE OF APPLICANT
Mech. Zee
SPECIAL APPROVALS
SPECIAL CONDITIONS:
NAME DATE
Plan Check
Env. Health
SEPA
Planning
Mobile Home
Fire Marshall
Co. Engineer
Other (Specify)
es
Plans Examiner
SEPA Checklist
din hnician
1� 714 4�
PERMIT IS NONTRANSFERABLE
PERMIT NUMBER
r 7
04* *7,00
*7.00
*7,00
E�0c-.0
779.1
07-28-80
2, 6,479.
TOTAL $ 7, 04
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
0 7 - 211. g: 07 IQ
t.7 n n Dtj