1980, 07-02 Permit: 80-6607 Addition PLAN NUMBER 1 APPLICATION/PERMIT PERMIT NUMBER
SPOKANE COUNTY — BUILDING CODES DEPARTMENT 80 -44.07
NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3 COPIES 0 2 * * 1 00 0
JOB ADDRESS
1. j - ' 3-„-3- V L64-- LEGAL DESCRIPTION - SEE ATTACHED * 1 0 0 0 i
LOT BLO K SUBDIVIIIO PARCEL NUMBER/S Z �,I!zi3 — t7Q 6 4 9. 1 g
OWNER! � NE , 06-30-80
3. `,NI1\1W1 151 ,-07a5
s 6.4 7 9.
ADDRESS �� V C CZIP , 1 Actual Set Backs Feet
✓. 40 //"'{C. ,. North � !South East (West
CONTRACTORPHONE Size of Parcel Zone classification
a. SNI r loo x 50 X114.6. II,i
ADDRESS ZIP Type Const. Occupancy Sprinklered
Oyes ❑No ❑ 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 A\re7,00f Decks Finished Basement Unfin. Basement
6. (vO —
TYPE No. Baths No. Stories No. Rooms No. of Dwellings
❑ NEW ❑ ALT. AD'N. 0 RPL. ❑ MVE.
7. OF _/ Req'd. Rec'd.❑ OTHER - Not q'd.
yT�
WORK bQ BLD. ❑ PLMB. ❑ MECH. ❑ M.H. ❑ POOL CERTIFICATE t/
of EXEMPTION
DESCJIBE WORK Enum.Dist. I Location (Area)
8. merit,f pa. I,�.( o R 17✓l,,•r/ "WI-nod FEES COLLECTED
VALUATION St URCE I GAS ELECTRIC WATER SEWER
T, � Ownership J USE CODE
9. 45 0.
UTILITIES � 16� Public 1=iPrivate �1 Single $
I hereby certify that I have read and examined this application and have read the "NOTICE" provisions included ®� 00
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
DATE OF APPLICATION ! 0 100 SIGNATURE OF APPLIC, LLiI t1 !t AZ Mech.
SPECIAL APPROVALS SP CIAL CONDITIONS: /I
NAME DATE - )Qi, ��J� Iie��n Plan Check
EnvAr /TO1 r I-II I 111///�„uuu FjY✓
V'`/�� t 11 iV -r? oviKV SEPA o
^.ar.ning
Fife vial"5ldi I n 7i_ ll`m" I C.J
ob.._
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U-
Co. Engineer Other(Specify)
Utilities ,
(0� ao
TOTAL $
\' .410/10 ' WHEN MACHINE VALIDATED IN THIS SPACE,
SE,A Checklist THIS BECOMES A PERMIT.
B -__ PERMIT IS NONTRANSFERABLE74.-40I—'8 -
i U .G (� ((��
� ��� PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. o * O'TOf L�
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