1980, 09-26 Permit: 80B-939 Addition PLAN NUMBER APPLICATION/PERMIT
PERMIT R
i�' ) 9/�6/i NUMBER
U
SPOKANE
OUNTY — BUILDING CODES DEPARTMENT
JNORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509)456-3675
APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3 COPIES
JOB ADDRESS {� `
1. 44 .,2.,.2,>2e 1 - (2 d c, ti'. ei-e- LEGAL DESCRIPTION - SEE ATTACHED 0 2 * * E 0 0 0
LOT BLOCK SU Ri VISION PARCEL NUMBER/S `'h O U U~
2. /l., / kr'. '.0 ,vit_z" Cl- —P L.c /4 /3A-K i * 0 0 G
OWNER • - 1 PHONE
3. A-'' Z.LL.1 Aa5 J.(rti 7 zS7" 8 A,i,U[;,E:,c.v. �:.--J , ,, u
AAD RESS {^�� ( 'r a ZIActual SettBacks in Feet
JC] ,','./ .2,-0' i,- C �i.`, , ,,t_pa .Q.(�f t/9„-).--;37 Northlr,a,� , (South/Gt ' East•6-4- (West 95 ' c `y
CONTRACTOR PHONE Size of Parcel Zone Classification 9-,- `- h
4. Nei.a/14/LC q.- ' /6,= ad ,, '.4- .ati1/1-64-
A�DDRESS ZIP Type Const. Occupancy prinklered (i 4 7 C.
'�U 44'6 Oyes DNo ❑ Req'd.
DESIGNER PHONE Valuation Building Area in Sq. Ft.
5' ADDRESS ZIP Main Floor Upper Floors Garage Area Storage _
CHANGE OF USE FROM TO Area of Decks Finished Basement Unfin. Basement
6. 30 S'
No.Baths No. Stories No. Rooms No. of Dwellings
TYPE ❑ NEW D ALT. N AD'N. D RPL. 0 MVE. / /
7, OF ❑ OTHER
WORK ❑ BLD. ❑ PLMB. 0 MECH. ❑ M.H. ❑ POOL CERTIFICATE Req'd. Rec'd. Not Req'd.
of EXEMPTION X
/DESCRI�B'EE WORK Enum.Dist. Location (Area) '
8.C l -�-f in* 1't' �/�-� 7,0./L-b /fij"/lam ��/�2 2E ; + ,Er xi- - I FEES COLLECTED
VALUATION SOURCE GAS / EL'ECTRIC WATER SEWER Ownership USE CODE
OF
9. r UTILITIES Public 0 Private Single $
I hereby certify that I have read and examined this application and have read the "NOTICE" provisions included O 6) _
Building
on reverse side, and know the same to be true and correct. All provisions of laws and ordinances governing this 6G,-""
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
DATE OF APPLICATION q 1- ' -`>82e) SIGNATURE OF APPLICANT�nj j'It1 ' ` /3 'GG-G( ;�' Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS: 4 f
NAME DATE Plan Check
Env. Health
SEPA ›-
o_
Planning
C
9
y (t _��- Mobile Home U.
Fire Marshall ( J
LI
Co. Engineer Other(Specify)
Utilities TOTAL $ S -
,
Plans Examiner
M �OS-t �QT �2_5� WHEN MACHINE VALIDATED IN THIS SPACE,
S A Checklist THIS BECOMES A PERMIT.
Bui ding Techt3ician 7 �f- PERMIT IS NONTRANSFERABLE 0 9,1.-2,6 11� L 9 3, 9 z o
-a,i I./ tai21.11- ' PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL
90
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t
o /
63 �
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RES/ Ye,t
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