1980, 08-20 Permit: 80-8812 Remodel PLAN -_.,„ .,. APPLICATION/PERMIT PERMIT NW,r, i
1:2O/ SPOKANE COUNTY — BUILDING CODES DEPARTMENT — u/
NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509)456-3675
APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3 COPIES 0 2 * * 1 0,0 0
JOB ADDRESS
/� ,r4 d51
((//'„,,,L. LEGAL DESCRIPTION - SEE ATTACHED * 1 0,00LOT BLO K SOBON I PARCEL NUMBER/S 7:- ,..e.- 4) 7peRr,Op-4,,O7-
2. 4 /3/.K .Z ,EXC..Q.E'&,AT A/£ c.,OR. r//,s...67c18 81. 1
OW ER PHONE T/'f. 5 W/L.y 7� ..4L4.N• C/N.6 OF/RR. C -A/.4A 0 8-2 0-8 0
�"� � f/ J 1 /°d tt. TN. N.YD N.LA/• rH•E- ,.S'Fd P'I3
3 7` �( dt (1'i(it.>±'' .2.6,--/9 TN- CeRBlA/1LOD TD �/2,�oNAeRes 6 4 7 9,
A_ DDRESS ZIP Actual Set Backs in Feett�-'J�� */�►}�" 43 z
i�/ EJ, ti Air, �• =��K V90/6 North South / East / ."
CONTRACTO PHONE Size of Parcel
Zone Classification
A„.t'.wt•.Lf.- /f`ad -d-'' s. -I .. ' ,.t.( s
r . I
4. ADpRESS ZIP Type Const. Occupancy Sprinklered
JeLf"1,tf_Y Oyes ❑No D Req'd.
DESIGNER PHONE Valuat' n - el 4.; Building Area in Sq. Ft.
om
�/ 6'/S i c?4
5. ADDRESS ZIP Main Fllo{or, Upper Floors Garage Area
Storage —
CHANGE OF USE FROM TO Area of Decks Finished Basement Unfin. Basement
6. - --
No.Baths No. Stories No�Rooms No. of Dwellings
TYPE
❑ NEW ❑ ALT. ❑ AD'N. ❑ RPL. ❑ MVE.
7. OF N OTHER
WORK ❑ BLD. ❑ PLMB. ❑ MECH. ❑ M.H. 0 POOL, CERTIFICATE Req'd. Rec'd. Not Req'd.
�j �7 of EXEMPTION
DESCRIBE WORIzt 1 Enum. Dist. Location (Area) '
4 /) FEES COLLECTED
8. V LUATIO. SOURC ,I GAS ELEC„C: ,-/A7,, TIFZIC WATER SEWER Ownership USE CODE
9. e9G`-1 1 UTA_TIES Public 0 Private M
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 this4'
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 g-11--Se4.1 SIGNATURE OF APPLICANT X ( "ct -e iyikb-- Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE Plan Check
Env. Health
>-
SEPA o_
Planning 0U
— w
Mobile Home --(
Fire Marshall -
Co. Engineer Other (Specify)
Utilities `
TOTAL $ ,'4.
Plans Examiner
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist THIS BECOMES A PERMIT.
Bu((itfling/I`/3ech ician .1 PERMIT IS NONTRANSFERABLE Q 8 -,213-!--'8:Q 8 8L2,z * 1. 0002 -11-
!"4.41 1/,�a."2/L .[� PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL