1980, 11-03 Permit: 80B-3122 Foundation PLAN NUMBER APPLICATION/PERMIT PERMIT NUMBER
il/ l`y`9 SPOKANE COUNTY — BUILDING CODES DEPARTMENT ��'� 31
1/
NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509)456-3675
APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3 COPIES
JOB ADDRESSrI LEGAL DESCRIPTION - SEE ATTACHED
LO 4.9C, AdIL Le
BLOCK SUBDIVI N PARCEL NUMBER/S 1; 4361
2. ,C.oT„.5-�-4, .' :,(0-: S,6rv"_' ,43J_-!;, /
OW ER �j ,�j PHONE la, * C .. '
3. , ./fi r,, h..ALU„-.— 6130---.619g 7 Pie/4 4.710 v = A 0 Le i W W A �,(� {_✓
AD RESS / �-y�- ��/�j� ZIP Actual Set Backs in Feet p s• ,� 1 J i L, 1
rf
e, -��6 /id 1.-{7.4.1.-e- ,,,Sp to---�'' �` Q9.24) z North 'South East ��✓ West r, :,
CO TRACTOR PHONE Size of Parcel Zone Classification 1 — L
4. -
A ZIP Type Const. Occupancy Sprinklered
f�/paDRESS e / Oyes ❑No 0 Req'd.
DESIGNER PHONE Val tion Building Area in Sq. Ft.
/..-5W25• ZIP Main Floor Upper Floors Garage Area Storage
ADDRESS d
CHANGE OF USE FROM TO Area of Decks �/Finished B. en�ent Unfin. Basement
6. £/, 41.G✓' it/ .0 41�`''/�'��'�
No.Baths No. Stores No. Rooms No. of Dwellings
TYPE ❑ NEW ❑ ALT. 0 AD'N. 0 RPL. ❑ MVE. -_- ----- __.
7, OF 'OTHER Req'd. Recd. Not Req'd.
WORK
0 BLD. 0 PLMB. ❑ MECH. ElM.H. 010 POOL CERTIFICATE
Ali.4.." --L-- of EXEMPTION
//pp) ESCRIBEWORK (� ,r Enum. Dist. I Location (Area) r
FEES COLLECTED
8.Vr/v/0, � j.,Lf✓I✓�i,,,),,'/ 4/ t✓. it P IVALUATION SOURCE I GAS /ELECTRIC WATER SEWER Ownership USE CODE
Oe JG.S OF I Public ❑PrivatNI
e
� -"�UTILITIES AQ41� J✓yfj � 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 ^''J
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
DATE OF APPLICATION ii-"....'3 G/ SIGNATURE OF APPLICANT /jam'{44...A-iMech.
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE Plan Check
Env. Health // .<f }-
ttf �O�JT/�IJ SEPA
Planning :. J/ GL .44.4 _ 2
,;r Mobile Home —'
Fire Marshall [ 0J 7`.!A4 ?rte- Af;:�'6�,M' -n. 43, .Lc�'i�' clC�
Co. Engineer TD, eF Lf."t,t'I; ' A ce if/6 A,7 Other(Specify)
Utilities ` ,r
¢42
TOTAL vZs-3 :
Plans
Examiner
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist THIS BECOMES A PERMIT.
Bu' ing Tech 'cian,i PERMIT IS NONTRANSFERABLE 1`1,-.8),,.:!-,a A 31124 'int) 0 a
r i+ ' <1i PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL