1980, 07-17 Permit: 80-7233 Addition PLAN NUMBER APPLICATION/PERMIT PERMIT NUMBER
SPOKANE COUNTY — BUILDING CODES DEPARTMENT PO, 7233
NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509)456-3675
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES L * * 2 2 0 0
JOB A DRESS r C
1. • 1 - -. v‘ IsO LEGAL DESCRIPTION — SEE ATTACHED
LOT BLOCK SUBDIVISION PARCEL NUMBER/S 07 z L 2 O O
2. OWNER PHONE p. of 4t 4�'I � 1 7 P t 1 * C V' l
40
3. VT L( 4,?8'Q�7 s .r/A.67, i72. . 4. R , F 1 "
rSc 1,.wt ,of r]y�
ADD ESS �7 �/1 A `7��jP ActTia S t ac s Fe ��' �1SI�Fux A • �rL���(I/� W �{i0a•+�C7W LA�(�'�v
/�� Y r , ` ✓�c2 North ISouth East (West —f v ' Lll�v or ��!day*' 7,g-, 0
CO TRACT PHONE Size of-Parcel Zone lassification -1(2 roD [y c, O y, • 9
tk100 x I5 `7 r 4C Ott
4. ADDRESS ZIP Type Const. Occupancy Sprinklered
Dyes ❑No ❑ Req'd.
DESIGNER PHONE Valuationl� u� Building Area in Sq. Ft.
5.
ADDRESS ZIP Main Floor Upper Floors Garage Area Storage -
r2... —
CHANGE OF USE FROM TO Area of Decks Finished Basement Unfin. Basement
6. —
No.Baths No. Stories No. Rooms No. of Dwellings
TYPE ❑ NEW D ALT. -AD'N. ❑ RPL. ❑ MVE. —], OF 1=1 OTHER -
CERTIFICATE Req'd. Rec'd. Not R$q'd.
WORK BLD. ❑ PLMB. 0 MECH. 0 M.H. ❑ POOL
of EXEMPTION
DESCRIBE WOR ( I Enum. Dist. Location (Area) 1
8' f 4 0 (y) �0i to I (6 X 2 [-ova, LSI g I FEES COLLECTED
VALUATION/� SOURCE GAS 6 I { EVLEC RIC WATER ( � SEWER Ownership USE CODE
9. I t/OOF
UTILLITIES (-0 Public 0 Private
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 .
type of work will be complied with whether specified herein or not. The granting of a permit does not presume Building
to give authority to violate or cancel the provisions of any other state or loca . •sulating onstruction or th-
performance of construction.
SEE REVERSE SIDE FOR REQUIRED INSP IONS ����'./ Plumbing
DATE OF APPLICATION / Z,�SESISIGNATURE OF APPLICANT /air'. • 'e Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE Plan Check
Env. H 7 //6 SEPA ^^
el—
Planning '-')Planningj
- iii
Fire Marshall Mobile Home -,
Co. Engineer Other(Specify)
Utilities
TOTAL $Z`2- `
ans Exami/-
WHEN MACHINE VALIDATED IN THIS SPACE,
A ec -st THIS BECOMES A PERMIT.
_ .ing Tec i an r PERMIT IS NONTRANSFERABLE Q `/I:,-,1.l,( r"U'U 2 * 2 2. 0 0 a
,. PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL
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