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1980, 04-24 Permit: 80-3916 ResidencePLAN NUMBER 6.Z2 P APPLICATION/PERMIT SPOKANE COUNTY — BUILDING CODES DEPARTMENT NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675 APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES 1. 2. 3. JOB ADDRESS LE 45°1 ED tH AVS. LEGAL DESCRIPTION — SEE ATTACHED LOT BLOCK SUBDIVISION OWNER Oa, C{tt2.ci4t 5TH ADDRESS I:. 4044 PHONE PARCEL NUMBER/S �e ct_ „ti Giottlev itoi> Amo, ; %ot.J 23S 32 -3412 ZIP Ctq zcz Actual Set Backs in Feet North (i�' 'South 30 East 5-5' (West 4. 5. CONTRACTOR Sia rr►E ADDRESS �3q rn c DESIGNER PHONE Size of Parcel 15o' Zone Classification 1�ti Q 1Gu�ir1'�� 1f�L ZIP Type Const. -14 Occupancy Sprinklered Oyes ❑No ❑ Req'd. PHONE ADDRESS ZIP Valuation ZCiO. `- Main1Floor Building Area in Sq. Ft. Upper Floors Garage Area Storage CHANGE OF USE FROM 6. TO Area of Decks Finished Basement Unfin. Basement tiaC2� TYPE 7. OF WORK ® NEW X BLD. ❑ ALT. ❑ PLMB. ❑ AD'N. ❑ MECH. ❑ RPL. ❑ M.H. ❑ MVE. ❑ POOL ❑ OTHER No. Baths 1.5 No. Stories No. Rooms No. of Dwellings CERTIFICATE of EXEMPTION Req'd. Recd. Not Req'd. DESCRIBE WORK 8. S1I.tCwLt VALUATION Film- ILN SOURCE OF UTILITIES GAS ELECTRIC Enum. Dist. - /P. e- /977— WATER C-IiRNiiOet: t” SEWER Location (Area) Ownership .�/' Public Cl Private kf USE CODE 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 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 DATE OF APPLICATION SPECIAL APPROVALS NAME DATE EEn);.4,ealth Planning Fire Marshall Co. Engin %] 471/Utilities /(/ Plans Examiner 11114 Po SEPA Checklist 2Z ,12 SIGNATURE OF APPLIC FEES COLLECTED Single Building Plumbing SPECIAL CONDITIONS: L-tAkr• Pm AC we -e3 4vp--64-d-e-1-20.7tte:4, PERMIT IS NONTRANSFERABLE PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE ech. Plan Check SEPA Mobile Home Other (Specify) TOTAL 367.0 r EMIT NUMBER F-6,- 3g/4, 02* *3'67.00 *3'67.00 *367.00 E :*000 391.58 04_ga'-80 2 6479, WHEN MACHINE VALIDATED IN THIS SPACE, THIS BECOMES A PERMIT. 04'-24'=80 DATE ISSUED 391,62 '367,002 PERMIT NO. TOTAL • 1i■IN■fit■0E'ii■■: ■iiifi■®■imaL�lEi �-ii ■�t1■■U r■■■ :Mg Min = w''i'li ®T. ■®Nn1N■ MEIiia■a'■�ZI©•r t■■■ Fia®E■NNZ; ., ■®■ ®■■■a■■■■■;a AS■ ■■■IIIVENOM ■■■■■■■ 1■®■■■iii■■■■■■■■■■ '�.. 'Zig .. , ., ., ii■■■■___EN. ■■■■■■N■■■■■■ ■■MMus■a■■ali n ■■■ ■NM■■■ ■■■■■■■■■■■■■ MMIIIIIIIIIIMINWMEMINMEINZ_ ■E ■Fi'I■fiMI■■ ■■■■■■■■■■■■■fi■■■■■■■■■■ii■MMILIE iiiIM■fi■■■___••r ■■■ ■■■■■■■■■■■■■■E■■■■■■■■■■fi____ ■ -- o■■■SMIII r■■■■ ■■■■■■■■■■■■■fi■■■■■■■■B�■■■ fil■■■ ■.nu ■■■•■■■■■■■■■fi■■■■■■■■■■■■ _ .■files. 11111 NM �■■■■■■ ■■■INIIIIIMINE MEM ■■■■■■u■■■■■fi■■■■■■■■■ fi■N■■■■■f�=■NN MIN■■■■■■■■■■■■■fi■■■■■■■■ ■■■ M■■ ■■■■ Alli MIEN■■■■■■fi■■■■■■■■■■fiNE■ N■ ■■■■ ■■■■■■■■■■■■■■■ ■■■■■■■SMEM __■■■ 4t,nal f•a■■■■■■■■u■■ ■■EMP■•■■- ■ 11111.P.. . Elm . .... ■■■■■■■■E■■■■■E■MUM ■■■■■■■_■E■ ■■■■N■ Mir -NENNENNE•insa NE mons ■■■■■■■ ■■■Erma.MIIMIIIIINSIIIREIMIN ■ ENiM NZEMENMEMENNi�■ i M o ■ _■■EMI ■ rr llill nit. =In Min al ME Inn ■■■■naun■■■ ■■■■ ZaSEE■ munanlii 1 is :, °-fir . NMI MO • s1 r</i l�lfi•■��■ ■ ■ ■■■■■■__�■ s n • R r OWN 11111111111111 • 3' .s ■FP - r r T