1980, 12-31 Permit: 80B-5385 Residence, Renewal of 79-9118 PLAN NUMBER - APPLICATION/PERMIT F'r-RMITNUMEiER
e- eel l �/3�/iG SPOKANE COUNTY — BUILIDING CODES DEPARTMENT eio - r,228 :-'
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 * * 2 2 9,0 0
1. 'N p(, V l'�ZC 612_
LOT B OCK SUBDIVISION PARCEL NUMBER/S * 2 2 9 0 0 rii
2. 5 Z v'ae Vta.-r St04rc►Op ' * 22900
OWNER s PHONE
3. 1Ki c4-40 Ceras; '-$4°-32..W 0-5.s.4.2.-cot o ' H * 0 0 0 5
ADDRESS ZIP Actual Set Backs in Feet
e . (Jul?, GieRfZq gcrao North 20 'I 'South 4 East ii 'West ZS ' 5 1 8. 1.
CONTRACTOR PHONE Size of Parcel Zone Classification 1 2-2 3-8 0
4. .s4ox6 eci_X t'32,.'c
ADDRESS ZIP Type Const. Occupancy Sprinklered f 6 G.7 9,
s*,A`y. Irt•I 14...--3 ❑Yes ❑No 0 Req'd.
DESIGNER PHONEm/alluuattio�n^c �. Building Area in Sq. Ft.
5' ADDRESS ZIP Main FloUpper Floors Garagee Area Storage _
CHANGE OF USE FROM TO Area of Decks Finished Basement Unfin. Basement
6. Rti L4WW.11 EtZGO .....•. 9f3i3
No.Baths No. Stories No. Rooms No. of Dwellings
TYPE
IliNEW 0 ALT. 0 AD'N. 0 RPL. 0 MVE.
7, OF 0 OTHER -
WORK BLD. 0 PLMB. 0 MECH. 0 M.H. ❑ POOL CERTIFICATE Req'd. Rec'd. Not Req'd.
of EXEMPTION
DESCRIBE WORK Enum. Dist. I Location (Area)
8. 4511•)6,1..A FRmiLy -P--E—rt IOW L.G I FEES COLLECTED
VALUATION SOURCE GAS ELECTRIC WATER SEWER Ownership yI USE CODE
#3-1
OF
UTILITIES ' (` Public 0 Private ._. I
544
/ 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 Z�R021"
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 12-/2-7 A) SIGNATURE OF APPLICA C. 6....)-e-1-1--)----------'
....) Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS: �t�,
NAME DATE LtC6r.c alr; Plan Check
Env e h f�
1i�� / T 1/1/16.i
/1/1 SEPA
Planning
_ U
Mobile Home ______ ....... W
Fire Marshall - --i
Er.
Co. Engineer Other (Specify)
"APP pj3rr " .P CT
Utilities Contact County
Eilgfiiews ..ficso TOTAL $ Z ?O0
Plans Examiner
-TC/14. posTl_tW,JIrt i/3i 4 WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist THIS BECOMES A PERMIT.
Building Technicia Q 'j`' PERMIT IS NONTRANSFERABLE 12.731 -'8 .0, 5'3 &5 z *'2 2 9.0_0,a.F -
-
9/6c. PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL