1980, 11-04 Permit: 80B-3207 Residence PLAN NUMBER ‘ APPLICATION/PERMIT PERMIT NUMBER
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 LEGAL DESCRIPTION - SEE ATTACHED 0 2 * * 3 4,0,0 0
1. ' �J 1�-�k�-' i�/ f � ' , * 3[10 0 0
L BLOCK SUBcs ISIO M/./..S. PARCEL NUMBER/S 0` ,rf',!�/.—e2-Z Ws� * 3 4 0,0 0
2. ..,'S / 01c- -,C`, A.,07-:. �C t /
OWFY7`' /` �C� �f \S ) PHONE A * 0 0 0 U
3. !61 -9r` //�V/ t/ C e --ef, Pe)AlD l:DSS i-t i 4.5
ZIP Actual Set Sacks in Feet
(--- • ,A / a/1-7 1`- /6/111) e„, 7 North 3 ISouth / , East ( (West '� ` 1 1 -0 4-8 0
CO CT P ONS Size of Parcel Zone Classification
� c rt'S c ii 1 77. J3..-'x/..s .41 �, 7. .7141 c
4. A,D�pJ� ,($�) �/ J1 �/� �� ///, l Zl p Type Const. Occupancy Sp 'nklered 6.4 7'9.
• C' /i s�T/ /" l/C� 1T/ /-1.v�'t✓ 7f6:. ❑Yes r 0 Req'd.
DESIG E PHONE Valuation Building Area in Sq. Ft. '
5.
/6/C v / C�7f/ -Cr.<'G'.-y � CG.q ``fJ.2-- ,/q
D KESS ZIP Main Floor Upper Floors Gara a Arecti Storage _
76r)- ; e-r l 4 /54--`7411,e1 f//c/9/rC/Gf,�k' eL) �7,Z J.�4L3 /(/ CO e
CHANGE OF U'E FROM ITn / / Area of Decks , Finished Basement Unfin. a ement
6. V `3�3 r,„TYPE ��{ Noaths No. Stories No. Roms of Dwellings
][J NEW 0 ALT. 0 AD'N. 0 RPL. 0 MVE. �^/
7, OF ! ❑ OTHER
WORK
0 BLD. 0 PLMB. 0 MECH. 0 M.H. 0 POOL CERTIFICATEReq'd. Rec'd. Not Req'd.
of EXEMPTION )`
SCRIBE WORK () i) Enum. Dist. Location (Area)
8.F
-1 1 ytx� c OAC /f_ Ct �J I FEES COLLECTED
ALUATION SOURCE GAS ELE T C WATER SEWERIOwnership USE CODE
§
4; S• 52„LZ-�UTILLITIES Public ❑Private>itSingle $
I hereby certify that I have read and examined this application and have read the "NOTICE" provisions included /4 oL' _
on reverse side, and know the same to be true and correct. All provisions of laws and ordi :nces governir9 thisBuilding : /ii
type of work will be complied with whether specified herein or not. The granting of a pe it does not resume
to give authority to violate or cancel the provisions of any other state or local law regul ng c. c-on or the
performance of construction.SE REV RSE SIDE FOR REQUIRED INSPECTIO S.„7-: Plumbing
DATE OF APPLICATION /41 /! 0 SIGNATURE OF APPLICAN R it �/ / 1,', Mech.
SPECIAL APPROVAL / SPECIAL CONDITIONS:
NAME DATE • e Plan Check
EEr9,�,+�./Il.ed9t h '
'C G{� �l GAV�Gfe D L'r s1�
/ SEPA
Planning OPEN DECr 93 ' ,2-1-- ---7 , T - -Y :- _
I _ U
I l Q�� �''') 1 Mobile Home "'-I
Fire Marshall ?LANs �0--r14 +` 0-1 lei 3 'J
LL
Co. Engineer Other(Specify)
Utilities ,�" �°
TOTAL $ `� }�
Plans Examiner
,iA POS1'L E,WPrJT 1��Z213?o WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist THIS BECOMES A PERMIT.
B ilding T chniykan --�—'' ` PERMIT IS NONTRANSFERABLE 1'-1i .@ 4-rEi-0, 320.71 *3•40.,002p'
. Li s2'irY. t1. PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL
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