1980, 07-07 Permit: 80-6673 Deck PLAN NUMBER APPLICATION/PERMIT PERMIT NUMBER
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509) 456-3675
e APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3 COPIES
JOB ADDRESS �l A A
1. k r • 1d0. 4 \/%l\ I`�fyk�'r LEGAL DESCRIPTION - SEE ATTACHED 0.2 * * 1 9,0 0
LOT BLOCK SUBDIVISION , 73-
*
PARCEL NUMBER/S i(„,54,3 _ p I , * 1000
2. OW 2 I r -0N 1 TT /
OWNER PHONE 1 O 0
3. r,"i o'I' it i jr2S-�I2- E * C00
ADDRESS' C� ` -� `6 - A�Ni-��. ZIP Actual Set Backslin Feet
F�%�". QNfJT9 vtYA��I N� ` North South East E'er' West 6 6 5. 2 ag
CONTRACTOR PHONE Size of Pa cel Zone Classificatio
i� .�-�r F l y 3 1-1 z7 x 13 0 iik,lG 43_ O7- 03 -80
4. AD ESS Z P Type Const. Occupancy Spri klered z 6 4 7 9
�00�- b �CTj�, Oyes ❑No 0 Req'd.
DESIGNER PHONE Valuation Building Area i�Ft.
1 00
5. ADDRESS ZIP Main Floor Upper Floors Garage Area Storage _
CHANGE OF USE FROM TO Area..cLcks Finished Basement Unfin. Basement
6. , `"��'
TYPE �// No.Baths No. Stories No. Rooms No. of Dwellings
❑ NEW 0 ALT. IZI AD'N. 0 RPL. 0 MVE.
7. OF „/ ❑ OTHER
WORK BLD. ❑ PLMB. ElMECH. 0 M.H. 0 POOL CERTIFICATE Req'd. Recd. Noti/Br�q'd.
of EXEMPTION
DESCRIBE WORK Enum.Dist. Location (Area) '
8 G®ti/1�1 => rtV --� ( _ < i ( I FEES COLLECTED
VALUATION SOURCE GAS l ELECTRIC WATER SEWER`- Ownership ,..,/4SE CODE
OF
�.il(/�I/
9. UTILITIES f rV Public 0 Private L�f
Single $
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
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
P
IP1
DATE OF APPLICATION / g- ! 8o SIGNATURE OF APPLICANT - Mech.
SPECIAL APPROVALS SPECIALT CONDITIONS: —4110
NAME DATE „ ISI Lie
C �iQ —
1 . — 21� (� 0/1(P/60) Plan Check
Env. Health � L r b III///���VVV ll
NO #Evi1_T/( fZELERSt re q'o. SEPA
Planning � O
Fire Marshall ,}¢wS 197Tr�cff 4 Mobile Home —I
w
Co. Engineer Other(Specify)
Utilities
TOTAL $
Plan Exa ,iie
NV f�J�-�
�
I WHEN MACHINE VALIDATED IN THIS SPACE,
SE list THIS BECOMES A PERMIT.
Bb'Iding hnician PERMIT IS NONTRANSFERABLE P 7,'-0 7 -3,0 ti o
4011r PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO./ * 1 9'� T,
Oiiti-
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