1980, 08-13 Permit: 80-8473 Damper PLAN NUMBER APPLICATION/PERMIT PERMITr�NUMBER
U SPOKANE COUNTY — BUILDING CODES DEPARTMENT
el �v � �
NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3 COPIES
JOB ADDRESS O 4 *1. * 7 O O N
° E''_ �� T��O
LEGAL DESRlPN - SEE ATTACHED
LO BLOCK SUBDIVISION PARCEL NUMBER/S 7.O O U
2.
yell PHONE E * 0 0 0 v
3. • C 4. 4...40.1.4...< �. . �'i.4—,//3/
DDRESSZIP Actual Set Backs in Feet 8 4 7. 2 R
/3Os -- y-9,,"/` North 'South East (West
ONTRA OR2 PHONE Size of Parcel Zone Classification 0 8— 1 3—8 0
.4?" / ���'-2/� z 6,4 7 9.
ADDRE S ZIP Type Const. Occupancy Sprinklered
,e> /,,,Z 710 f5701-/ 4 Dyes ❑No ❑ Req'd.
DESIGNER PHONE Valuation Building Area in Sq. Ft.
5. ADDRESS ZIP Main Floor Upper Floors Garage Area Storage —
CHANGE OF USE FROM TO Area of Decks Finished Basement Unf in. Basement
6.
TYPE No.Baths No. Stories No. Rooms No. of Dwellings
❑ NEW ❑ ALT. D, P N. ❑ RPL. ❑ MVE.
7. OF El OTHER
ElBLD. El PLMB. LTJ MECH. ❑ M.H. ❑ POOL CERTIFICATE Req'd. Rec'd. Not Req'd.
WORK
of EXEMPTION
DESS'IBE W Enum. Dist. I Location (Area) FEES COLLECTED
8. I
•ALUATIO SOU RC GAS ELECTRIC WATER SEWER Ownership USE CODE
OF
9. UTILITIES Public 0 Private 0 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 Building
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. •EE REVERSE SIDE FOR REQUIRED INSPECTIJ S Plumbing
i
DATE OF APPLICATION S` . 0 SIGNATURE OF APPLI , ..`�-G>�' 2c-A _ _ Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE Plan Check
Env. Health
SEPA ra
Planning C,CD
—
Mobile Home u
Fire Marshall
%.
Co. Engineer Other(Specify)
Utilities .9 cU CD
TOTAL $ l
Plans Examiner
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist THIS BECOMES A PERMIT. p n ,-`2—
Bui g Tec i ian
PERMIT IS NONTRANSFERABLE ��/���� o 73 /'gyp
/✓ PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL