1980, 05-10 Permit: 80-1980 AdditionPLAM'NUMBER
APPLICATION/PERMIT
SPOKANE COUNTY - BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 4 COPIES
JOB ADDRESS
1. 6D'
LEGAL DESCRIPTION - SEE ATTACHED
LOT
2.
BLO K SUBDIVISION
3.
4.
OWNER
ADDRESS
- 37z!
CONTRALTO •
ADDRESSr 6t 4i--- cA4RprIvii L1 M`i V
PHONE
924- % e
ZIP
PARCEL NUMBER/S � .., ^ _l Icy -IV.
F0,1-qoki Or-
s4 Li, oI o1,41. N icy' oo. iz/W
PHONE
535- 6193
Required Set Backs in Feet
North 'South 1-7-0 1East
Size of Parcel
711-.7 >< Co6,3
'West 5 0
Zone Classification
DESIGNER
5' ADDRESS
PHONE
ZIP
Occupancy
Valuation
O7c
D W LnAria
4C -5S
Type Const.
'Sprinklered
❑Yes ❑No ❑ Req'd.
Building Area in Sq. Ft.
Basement Area Garage Area
Storage
CHANGE OF USE FROM
6.
TO
Split Entry
Split Level
Rancher
TYPE
7. OF
WORK
❑ NEW ❑ ALT. CJ AD'N.
lk /BLD. ❑ PLMB. 0 MECH:
❑ RPL.
❑ M.H.
❑ MVE.
❑ POOL
❑ OTHER
No. Baths
No. Floors
No. Rooms
Rec. Room
CERTIFICATE
of EXEMPTION
Req'd.
Rec'd.
Not Req'd.
8.
DESCRIBE WORK 1 C
/417121-0 eq'sizor6 liAM,r 1, -_l 1
V�UATION
a 5I 000
I hereby certify that I have read and
on reverse side, and know the same
type of work will be complied with
to give authority to violate or cancel
performance of co pstruction.
DATE /R9d C1
Source
of
Utilities
GAS
E ECTft
/�,,W11A�TER
moo'trl.
SEWER
examined this application and have read the "NOTICE" provisions included
to be true and correct. All provisions of laws and ordinances governing this
whether specified herein or not. The granting of a permit does not presume
the provisions of any other state or local law regulating construction or the
SIGNATURE
SPECIAL APPROVALS
DEPT. REQ'D.
REC'D.
Env. Health
Planning
-)M/k
Fire Marshall
Co. Engineer
Utilities
Zone Clearance
SEPA Checklist"yi�.�;,
SPECIAL CONDITIONS:
C I S °
MAIL
DATE,q—i'0' / I" OFFICIAL
FEES COLLECTED
Single $
Building
Plumbing
Mech.
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL
p
PERMIT UMBER
l9 F0
DATE ?l0
02* * 1 74.00
1 r' 0.0 ~,
*17400
E *0::)
1656.75'
02-28-80
29 6479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS,BECOMES A PERMIT.
Ali - i O 811
98 17
INSPF!'Tl1R