1980, 04-07 Permit: 80-3150 PoolrLA"7 BER APPLICATION/PERMIT
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3 COPIES
JOB ADDRESS,
3 og LEGAL DESCRIPTION - SEE ATTACHED
LOT �B OC SUBDIVISION PARCEL NUMBER/S
2. PHONE� 5/ V
s. OW�h5 K, WA 1, ,-7,4-- 3674- C�,c� "o)
AD ESS
V J AVO' J01\1
CONTR�4CTr
�^�JY\��A�M J
4. ADDRESS
DESIGNER
'. ADDRESS
PHONE 'Valuation
ZIP Main Floor Upper Floors
Zone Classification
❑Yes ❑No ❑ Req'd.
Building.Area in Sq. Ft.
Area
PERMIT NUMBER
$U J 3 )s0
02_* *2.5.00
*2500 U
*250061
E *0,00
306.4L9
04-03-80
z 6.479.
CHANGE OF USE FROM
6.
Actual Set Backs in Feet
`Z.1P ��
Finished Basement
Unfin. Basement
J
North /7
South
PHONE
SizeZ0rcel
% ❑OTHER CERTIFICATE
Req'd. Rec'd. Not Rep'd.
WORK 11 BLD. 1:1PLMB. 1:1MECH. ElM.H. 2JPOOL
of EXEMPTION
w
ZIP
Type Const.
I Occupancy
PHONE 'Valuation
ZIP Main Floor Upper Floors
Zone Classification
❑Yes ❑No ❑ Req'd.
Building.Area in Sq. Ft.
Area
PERMIT NUMBER
$U J 3 )s0
02_* *2.5.00
*2500 U
*250061
E *0,00
306.4L9
04-03-80
z 6.479.
CHANGE OF USE FROM
6.
TO
Area of Decks
Finished Basement
Unfin. Basement
Baths No. Stories
No. Rooms No. of Dwellings
TYPENo.
I(d NEW 1-1 ALT. ❑ AD -N. ❑ RPL. ❑MVE.
% ❑OTHER CERTIFICATE
Req'd. Rec'd. Not Rep'd.
WORK 11 BLD. 1:1PLMB. 1:1MECH. ElM.H. 2JPOOL
of EXEMPTION
DESCRJi E.Vy�tK �a� +�j Enum. Dist. Location (Area)
P�W_'I � ` jJ
FEES COLLECTED
8 I N ��
VALUATION SOURCE GAS ELECTRIC WATER _ SEWER ownership USE CODE
OF N9 Public ❑Private
9. UTILITIES
I
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 APPLICATIONil r% SIGNATURE OF APPLICAN�",
Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE ; 1 A.� �O ,�„n
�I�ftll Gj�
Plan Check
Env. th
SEPA
Planning
Mobile Home
Fire Marshall
i
Co. Engineer
Other (Specify)
-
DO
Utilities
TOTAL $
Plans Examiner
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist
THIS BECOMES A PERMIT.
ilding fanPERMIT IS NONTRANSFERABLE
0 4 ^.0 P--8 0 15. 0 q
*25.00°' -
Jack R. Walrath
� J .5aX-,�
North 703 University Road
3-2-6829-4 WESTIN Rk"AN, SAPGEN7
CM0
0
rl
T -T 14�
14151
Nkli -7 A