1980, 07-25 Permit: 80-7647 AC RI LIGATION/PERMIT
PERMIT
SPOKANE COUNTY — NUMBER
BUILDING CODES DEPARTMENT /V — 764- 7
NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509)456-3675
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
JOB ADDRESS c�
0/1.
/ �' LEGAL DESCRIPTION — SEE ATTACHED 0 4 * * 7 0 0
LOT B OCK SUBDIVISION y '�
1 ,
2 * 7.00 V)
OWNED "
3. i _. _ - ' 'HON * 7, 00
ADDRESS Z 9 3d E * O
3,i/ ' Actual Set Backs in Feet a 0 0
co 4,ACTOR, —"'�� ��0 North 7 6 4 6
South
+ #..-
4. / PHO Size of Parcel East West
ADDR e Zone Classification 0 _ 2�J7r_8 0
i' (-2....,
V '�� Zl�,/�c Q ® Occupancy 2 6 4 / 9
e NEK Sprinklered
PHONE ❑Yes ❑No 0 Req'd.
5. Valuation
A Building Area in Sq. Ft.
E3BR-E`SS-
ZIP Main Floor
Upper Floors
CHANGE OF USE FROM Storage
6. TO
Area of Decks Finished Basement
TYPE 0 NEW ❑ ALT. ❑ D'N. 0 RPL. =
7. OF ❑ MVE. No. Stories No. Rooms No. of Dwellings
WORK ❑ BLD. ❑ PLMB. TECH. ❑ OTHER
0 M.H. 0 POOL CERTIFICATE Req'd. Recd. Not Req'd.
DE/SC IBE WOR o� of EXEMPTION
�J L�C� � ,� �; � 1 Enum.Dist. Location (Area)
VALUATION SOURCE ® FEES COLLECTED
OF ELECTRIC WATER SEWER
9. UTILITIES Ownership USE CODE
Public 0
I hereby certify that I have read and examined this application and have read the "NOTICE"P 'provisions included
on reverse side, and know the same to be true and correct. All provisions of laws and ordinances governing this Single $__
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 Building _
performance of construction.SEE REVERSE SIDE FOR REQUIRED INSPECTIONS
Plumbing
DATE OF APPLICATION 41,
/�.��.—' SIGNATURE OF APPLICANr,/Q
SPECIAL APPROVA r' ��� '04� Mech. G
ECIAL CONDITIONS: ---
NAME DATE
Env. Health Plan Check
Planning
C
SEPA
Fire Marshall >--
a..
Mobile Home
Co. Engineer
Utilities Other(Specify)
Plans Examiner TOTAL
TEPA Checklist
WHEN MACHINE VALIDATED IN THIS SPACE,
I THIS BECOMES A PERMIT.
wilding
PERMIT IS NONTRANSFERABLE
2PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUE
I —E 5 —is ( 6 4, ,' ' * .
ED PERMIT NO.