1980, 11-17 Permit: 80B-3779 Addition PLAN NUMBER --1 APPLICATION/PERMIT ERMIT NUMBER
1Z-.2m76/ /J/7/go SPOKANE COUNTY — BUILDING CODES DEPARTMENT 8a�' --3 7 9
/ // / NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509)456-3675
' APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3 COPIES
JOB ADDRESS LEGAL DESCRIPTION - SEE ATTACHED
1. S. /3/`j •77r e3e--2 Grove- C 2 * * 1 1 ., 0 0
LOT ' BLOCK SUBDIVISION PARCEL NUMBER/S '£ 1 1 C 0 0
2. 4/ S/ .Rc /I Eote,o '4c;2- -reel c rs
OWNER PHONE * 1 1 6.0 0 6
3. o/.vcS Y Ze�E"v y qzz/1'7 4' z sv3--ae/0y
ADDRESS �ZIIP Actual Set Backs in Feet N * 0. l-1 0 E5 ' /..?/c 74 3E 6.4 rue- 9�izOC, North Sv. 'South East ZyS (West 3 5 2.7 z
CONTRACTOR PHONE Size of Parcel Zone Classification
r?6-#I/Ac uM)A' C2/V5-r?t4C7/DA) -4197-3V9 /A6 2E" 46. So4:3we Arliti 1 1 = 1 0-8 0
4' ADDRESS / ZIP Type Const. Occupancy Sprinklered
/Pr 2 &X1 g9Zc7 ❑Yes ❑No ❑ Req'd. 6.4 7 9,
DESIGNER PHONE Vgjpation Building Area in Sq. Ft.
5. w 'iP/J,78e) 5 70
ADDRESS ZIP Main Floor Upper Floors Garage Area Storage _
soy -
CHANGE OF .JSE FROM TO Area of Decks Finished Basement Unfin. Basement
6. <v‹.2 CGUER Q -- 57)
TYPE . / No.Baths No. Stories No. Rooms No. of•Dwellings
Od NEW ❑ ALT. AD'N. ❑ RPL. 0 MVE. I 1
7. OF ,_,/ ElOTHER -
WORK IJ1 BLD. ❑ PLMB. 0 MECH. 0 M.H. 0 POOL CERTIFICATE Req'd. Rec'd. Not Req'd.
of EXEMPTIONV
DESCRIBE WORK Enum. Dist. I Location (Area) '
8. 14-1:0)//7 vp i O / e-.5./Dery cE FEES COLLECTED
I
i� OF
,VALUATION SOURCE GAS ELECTRIC WATER SEWER Ownership USE CODE
/"5I 78C) UTILITIES .5607/L Public ❑Private 113" Single Sji
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 p f(-Q ,ba
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// - Y g Re..411
/� Mech.
SIGNATURE OF APPLICANT `� �
SPECIAL APPROVALS SPECIAL CONDITIONS: GJC6/V ri E ok. f}
JPh NAME DATE 9-6v
Plan Check
En . eaJ6 i I �/� G-i
i/(J Y'' n"s xQT•4 fEl) SEPA
0
a
Planning CD
U
Fire Marshall Mobile Home w
/jl.q/c To Cu,r r,.,y c Tom
Co. Engineer
Other(Specify)
Utilities I
TOTAL $ /l� 04)
Plans I er
�— �` // WHEN MACHINE VALIDATED IN THIS SPACE,
SEP• ch: list THIS BECOMES A PERMIT.
#`
Building Technician PERMIT IS NONTRANSFERABLE 11' •.'1 7'''S'O" 31'7 Q (`�' R P J -
96 ?--a- /////(0., PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. ,9 *11 TOTAL
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