1980, 03-24 Permit: 80-2614 Remodel (PLAN NUMBER - APPLICATION/PERMIT HERMIT NUMBER
SPOKANE COUNTY — BUILDING CODES DEPARTMENT go_ t-
NORTH 811 JEFFERSON / SPOKANE," ASHIN't3TON 99260 / (509) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3 COPIES
JOB ADDRESS 0 3 * * 2 3 7.0 0
1 �'/// LEGAL DESCRIPTION - SEE ATTACHED
FLOTI BLOCK UBDIVISION PARCEL NUMBER/S * C 3'7.U 0
2. S' / 7.co BI-K 49 /G- "�sT 09/7 * 2 3 7,0 0
TER � PHONEJT A3 / � P/€ D s
3. Ci1�%Q ` +w ' 9'-Z -'S4 77( O PPD, r',v/T! E * U.0 0 r
RESS ZIP /_ Actual Set Backs in Feet i 2 6 1.3 r
i /D0O '3'�^�, � _ qq.a /o North 'South East 'West
C NTRACTOR PHONE Size of Parcel ,, Zone Classification (0 3-2 4-8 0
.p
a. zaza-..Q>tic,. S" =F 737 y0 x/toD r g 6,4 7 9.
ADDRESS -} // ZIP Type Const. Occupancy Sprinklered
.5-7, j4. atm-. x(4� /ZI9 4, DYes ❑No ❑ Req'd.
DESIGNER PHONE Valuation 4 Building Area in SF. Ft.
5. 4-o a aa— 26 5tD
ADDRESS ZIP Main Floor, Upper Floor, Garage Area Storage -
../..-b.9--0 zo
CHANGE OF USE FROM TO Area of Decks Finished Basement Unfin. Basement
6. __`
TYPENo. Baths No. Stories No. Rooms No. of Dwellings
❑ NEW D ALT. 0 AD'N. 0 RPL. 0 MVE.
/
7, OF ® OTHER -
WORK
0 BLD. 0 PLMB. 0 MECH. 0 M.H. 0 POOL CERTIFICATE Req'd. Rec'd. Not Req'd.
Ip of EXEMPTION _ X
DESCRIBE WORK Enum. Dist. I Location (Area)
8 ftp _dL /� i d.' ( /1l Q C nJ X94,0 FEES COLLECTED
/►VA�LUATTIOONNO solJOFCE GAS ELECTRIC 7:4.4,-,
WATER SEWER
Ownership USE CODE
9.140 640 JTILITIES Public 0 Private 0 Single $
I hereby certify that I have read and examined this application and have read the "NOTICE" provisions included o
on reverse side, and know the same to be true and correct. All provisions of laws and ordinances governing this Building 51'3 _
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:3—2 4—7a 1� /
SIGNATURE OF APPLICANT i,. ��" .,..... Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE Plan Check
Env. Health
SEPA ;1
Planning
:J
Fire Marshall Mobile Home
i
Co. Engineer Other(Specify)
Utilities .2.3740 `:
TOTAL $
Plans Examiner
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist THIS BECOMES A PERMIT.
Building Technician PERMIT IS NONTRANSFERABLE 0 -2 4'— ''0 2 6 1, 4 z * 2 3.7.0 u a i. -
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL