1980, 09-23 Permit: 80B-0724 Addition 'PLAN NUMP?E', - APPLICATION/PERMIT
PERMIT NUMBER
9/~ � " SPOKANE COUNTY — BUILDING CODES DEPARTMENT r
el/ NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509)456-3675
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES n
JOB ADDR SS i t * * 1 0 o 01. i .�.I kNICOI.)1C<Irp- LEGAL DESCRIPTION — SEE ATTACHED
LOT BLOCK SUBDIVISION PARCEL NUMBER/S
2.
0r�}-c�.1 — �o�� * 1 0400Y
OWNER PHONE I� • Fi
C�� I�r N4 s i' --4-5C i L oN �I'i't� PL-AI�
3 ADDRESS /� /� ZIP Actual Set Backs in Feet 7 C. 5
7/"I IA10"/�1v J ,7 2-0 6 North-30 (South East 'West 50
CONTRACTOR PHONE Size of Parcel Zo a Classificati 0 9—2 3—8 0
I/{ M Y I N1 c, ,;, -74-0 b _ i.Cr, -.?< — Int G���� c 6[t 7 9.
4' ADD SS t �y / 3 f� Type Const. Occupancy Spri klered
I V £2(Q J /"_" ❑Yes ❑No 0 Req'd.
DESIGNER PHONE Valuation Building Areaiin,..
7q. Ft.
5. ADDRESS } ZIP Main
n Floor Upper Floors Garage Area Storage –
CHANGE OF USE FROM TO Area of Decks Finished Basement Unfin. Basement
6. — .2--6)
TYPE 0 0 0 ❑ No.laths No. ories No �Rooms No. of Dwellings
NEWALT. AD'N. RPL. MVE. I _
7. OF ��/ ❑ OTHER
WORK ISI BLD. 0 PLMB. 0 MECH. 0 M.H. 0 POOL CERTIFICATE Req'd. Rec'd. Not R2f'd.
of EXEMPTION e/
DESCRIBE WORK \ Enum. Dist. Location (Area)
8 jl0267K1 , )) � iIV' KO - 50, .. r1 IC,?‹ -- C 1 I FEES COLLECTED
VALUATION i5`-01UU (CE GAS ELECTRIC WATER /{SEWER OwnershipSE CODE
OF
9. UTILITIES e'-----5/(0:211(...... Public ❑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 local law regulating construction or the
performance of construction.SEE REVERSE SIDE FOR REQUIRED INSPECTIONS Plumbing
:-
7--,c) r.'"'-'
DATE OF APPLICATION SIGNATURE OF APPLICANT r 0 Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS:
IIIS NAME DA///E c s L, /,n -ro��7i Plan Check
Env. / L� 1 L Il ,✓rte.
f SEPA )--
o._
�Plning .'
– Ul
Fire Marshall Mobile Home ._.�
U.
Co. Engineer Other(Specify)
Utilities
TOTAL $
Plans\Exa .' ,r
N.
ley -w— WHEN MACHINE VALIDATED IN THIS SPACE,
—A Checklist THIS BECOMES A PERMIT.
'`� k3r1 )►g Techn PERMIT IS NONTRANSFERABLE '0'..9Hr2, �'-18j'O 7 2, 4 z I, 1 0 4 0 0 ° 7.1.
J PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL
. . _
---
11";",-4;-902€ I i NC muT SAv 10( 06S610CZ244
4706 CO21.3 '
LOUIS E SIMS OS 2I4 PIM Of GOY 16 OAF R025FOOS
BEG AT Ni COR OF GOV_L; IN SO C Th SOCIEG OSIIIN II ALG W IN Of
GOv LI
ft IDIV k6 614i1 'LIFT D4 g 6 STMIN 13gFT TO ITHIPOI TH
r" fCONT 511 S.MIN Ettilur PI
V ' ._ ) 414FT TO Rii4 Lt4 f SO HOLMAN D -LH WMG (isms ti AL SO R/II i
IN t36fT TO TRUE ROB EXC ANY 'TN WITHIN SMIC Of 141/2 13 UGOV L64
Ye 64 YR ST WM OS Dit_03 PI 49 DO 1272 LA 7000S 01 ZN AS
FA IIKR I. 64 VALIS s500 IJACII VRtu TIKR I. 64
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