1980, 03-24 Permit: 80-2610 Residence PLAN NUMB R43 PERMIT NUMBER
�` SPOKANE COUNTY — BUILDING CODES DEPARTMENT 'o "C-)ID
NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509) 456-3675 DATE 3-2-,1410
APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 4 COPIES
02 * *361,00
JOB ADDRESS
LEGAL DESCRIPTION - SEE ATTACHED * 3 6 1.0 0
1. S: �_3c,z ✓/liU r '�r,eT� sr�e�-� 3 6 1,0 0
LOT BLOCK SUBDIVISION PARCEL NUMBER/S "
2. / / nzace2SW he".GS cc.,r / &-,r/ i' yvir:ec.,s,y fitia-S
OWNER PHONE PORT-- E * 0 0 c:
06'4-4 /- 9D® 7
3. /90B .e r C .l�?y,.sr er 7eY-72.26 2 6 G 9 R
ADDRESS l ZIIP/i' Required Set Backs in Feet `� ,/ T
S / J S�/frtioC it/N ue/✓ f� kgJiLt� 7 7 .2-06 North�.6 / South 11"9 ` East -7-"7`" / 'West /<-1 0 3-2 Li.-8 0
CONTI CTOR PHONE Size of Parcel Zo a Classification
.1i 2& CtiCi tp. G�a.�. ),c.1A 1 i.Y..a.Lu1�.¢, 6. 4 7 9,
4'
ADDRESS ZIP Type Const. O cupancy Sprinklered
rViAAL, Dyes ❑No ❑ Req'd.
DESIGNER PHONE Va,�lr ation O Building Area in Sq. Ft.
5. r
M,c7 i'V, y c�Es./Gw 318-zio`7 )" 7� DD— -2.01--91 _
ADDRESS ZIP DWL PD(ea Basement Area Garage Ares. Storage
4' 66 - .Ism 2 49*z/ /32D S2
CHANGE OF USE FROM TO Split Entry lit Level Rancher
6.
No.Baths No. Floors No. Rooms Rooms Rec. Room
TYPE
I21I NEW ❑ ALT. ❑ AD'N. ❑ RPL. ❑ MVE. .3 -2_ O"
7, OF }}��5 ❑ OTHER
WORK )6 BLD. CIPLMB. ❑ MECH: ❑ M.H. ❑ POOL CERTIFICATE Req'd. Recd. Not Req'd.
of EXEMPTION
DESCRIBE WORK
FEES COLLECTED
8. Se.vzt- / 91i 14 V ' ES ID /LC -
VALUATION O Source GAS ELECTRIC WATER SEWER
of
9.r 7466' ------ Utilities —
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 -34,./•
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 I I 17 -gulating construction or the
performance of construction. I I I I 7 71 Plumbing
DATE 3—/ 7 "S� SIGNATURE 1
Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS: '.
DEPT. REQ'D. REC'D. Plan Check
Env.Health V
3// SEPA I-
Planning U
— w
0_
Mobile Home cn
Fire Marshall z
Co. Engineer Other(Specify)
Utilities e
TOTAL $ ."�/
Zone Clearance
APPRu WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Ch ( RAWI�iE.O THIS BECOMES A PERMIT.
.. DATE 3.-2P-eft) OFFICIAL�2 -„ ., (, _ *) 6 L i; 11
APPROVED FOR ISSUANCE _
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