1980, 07-17 Permit: 80-7274 AdditionPLAN NUMBER
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 AD_ I ;_v_. 2
LEGAL DESCRIPTION — SEE ATTACHED
LOT
BLOCK SUBDIVISION
UWIN <
3 Morn j IAJ'f-1I t\6rio
ADDRESS l IV/\ I
CONT ACTQf
5
4- ADDRESS
PHON
PARCEL NUMBER/S 40" 1
��5, 3/ wT��J�
PHONE
Actual Set Backs in Feet
North 'South
lEast
West
Size of Parcel
ZIP
125 x 7-47
Type Const. Occupancy
Zone Classifica
/ ion
St*inklered
Eyes ❑No ❑ Req'd.
DESIGNER
5. ADDRESS
PHONE
Valuation
Building Area in Sq. Ft.
2 G, e7
ZI P
Main Floor
Upper Floors
Garage Area
Storage
CHANGE OF USE FROM
6.
TO
Area of Decks
Finished Basement
Unfin. Basement
TYPE
7. OF
❑ ALT.
BLD. ❑ PLMB.
RIBE WOR
7c h40191-11(2\
I< AD'N.
❑ MECH.
E RPL.
❑ M.H.
❑ MVE.
O POOL
0 OTHER
No. Baths
No. Stories
No. Rooms
No. of Dwellings
CERTIFICATE
of EXEMPTION
Enum. Dist. I Location (Area)
Req'd.
VALUATION SOURCE GAS ELECTRIC WATER SEWER Ownership USE CODE
9. liDOO UTILITIEScei,
OF Public [11Private
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
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
Crit
DATE OF APPLICATION
SIGNATURE OF APPLICAN
SPECIAL APPROVALS
NAME DATE
Env. Health
Planning
Fire Marshall
Co. Engineer
Utilities
Plans Examiner
SEPA Checklist
(ding T chnician
SPECIAL CONDITIONS: 1
Mk vJ� / �o� M 717V3 C i U -' I
PERMIT IS NONTRANSFERABLE
Recd_
Not Re d.
FEES COLLECTED
Single $
Building
Plumbing
Mech.
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL
PERMIT NUMBER
mc'-7zT74
02*
* 27,00
* 27.00 to
727.32
07-17-80
z 61.79.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
0 7 -17 -8
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED
727.42
PERMIT NO.
x27.00°H
TOTAL