1980, 10-17 Permit: 80B-2147 Addition11-
PLAN NUMBER �_�-..-rs "�PTriChi T NUMBER
APPLICATION/PERMIT
' �/y2 �l /Fo 147
7 SPOKANE COUNTY - BUILDING CODES DEPARTMENT
v NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509) 456-3675
1 APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
JOB ADDRESS u " *
. LEGAL DESCRIPTION — SEE ATTACHED
1.)j, / " .41,3 v? pt. : ,6 i.:t '/ ;
LOT BLOCK SUBDIVISION / PARCEL NUMBER/S 1_4,5343 ..9/9::?
2. Nis D`d F .`_>4.i., ",,�= �s r(.' c)A--5 t'y IEX e-- * 1 2c 0 t v
�(1WNEA �� PHONE v:4,1,- dyLJ,. ./1,,� 4 X c^ ,C,.34,5-1
A it f
DDRE/SS ZIP 7n/ Actual Set Backs in Feet 1 9 C 1
/5 ) ? <-LI ,e,/LC1i • � z<C. )' ;dfi ��/•G�4�» North (South%/ East ,2, ' (West 'jl '
•
I CONTRACTOR fj a` PHONE Size of farces. / Zone Classification 1 1 It —P {
# 4' Com/.,: LLC— /47K/L�(�—l //X/4-1 . CI t L,f'LL 14-4 .
A DRESS ZIP Type Con t. Occupancy S rinklered
'u 4 I
et_1,Yi/ _ nrN — oyes o ❑ Req'd.
DESIGNER PHONE Valuation Building Area in q.� Ft.
I 1-7 6C J7
5' ADDRESS ZIP Main Floor Upper Floors Garage Area Storage
CHANGE OF USE FROM TO Area of Decks Finished Basement Unfin. Basement
i 6. ‘3-"./.2
No. Baths No. Stories No. Rooms No. of Dwellings
TYPEX NEW ALT. .,AD'N. 0 RPL. 0 MVE. /
7. OF ❑ OTHER
WORK 1g.,BLD. 0 PLMB. 0 MECH. 0 M.H. 0 POOL CERTIFICATE Req'd. Rec'd. Not Req'd.
of EXEMPTION A
DES RI E WORK Enum. Dist. I Location (Area) '
8 _AV::
:: 4,- 2 -3 -��� I FEES COLLECTED
VALUATION SOURCE GAS ELECTRIC WATER SEWER Ownership ' USE CODE
OF
9. UTILITIES Public ❑Private lc
Single $
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 INSPECTIQ.N / Plumbing
Mach.
DATE OF APPLICATION /����4 1""��'� SIGNATURE OF APPLICANT ��'__- -�`
SPECIAL APPROVALS SPECIAL CONDITIONS: 9
NAME DATE 4 0c,G, _/ c i I1/ 4IO. pr� re9� toon , I� Plan Check
t, Env.H It h/ / y'(_( �/!\�•tJP"+� "�( I �I�I i.-w f
. 'r4V/ 00/1 Ill'I� I�I JL1LL- 2 , SEPA >-
. 0-
PI
Planning C
U
Mobile Home u_
Fire Marshall
LL
Co. Engineer Other(Specify)
Utilities
TOTAL $
:nsExam'41... �`
iii
dr, *-�.. ' "TLS WHEN MACHINE VALIDATED IN THIS SPACE,
Vie EPA Checklis, /' -7 THIS BECOMES A PERMIT.
B lding Tec nici PERMIT IS NONTRANSFERABLE '� i _
`'• 8'�' C ! 4 x l 28. 00
- I- E' '-X"2/441, PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL
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