1980, 04-24 Permit: 80-3960 Addition, Remodel PLAN NUMBER APPLICATION/PERMITPLr,i.117 NUMBER
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509)456-3675
APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3 COPIES 0 2 * * 8 6.0 0
JOB ADDRESS
1.e. DO g 1 LEGAL DESCRIPTION - SEE ATTACHED * 8 6 0 0 to-
LOT BLOCK SUBDIVISIOI�T PARCEL NUMBER/S 23 "•`61'9•°Q. * 8 6 0 0 chi
O . NE' • PHONE
3. �.....L., '. ' ....elf_. OP --C e i3h,/t i /SRA 3 9 5 9 R.
ADDRESS ZIP Actual Set Backs in Feet
e . /-DD d I'JU £24LL 1I1 a.�Q. 9q4 3 7 North.34, (south 3/"/
East 7 • 'West / 7 0 4=2 4-8 0
COIITRACTOR, PHONE Size of Parcel f Zone Classification 6
�'i ' 9'bX33�1 ,�.e, -2 6479.
4. 1�'. l. nlLClt�
A DRESS ZIP Type Const. Occupancy Sprinklered
.44-41.4.4.9..t. ❑Yes ❑No ❑ Req'd.
DESIGNER PHONE Viluation e) Building Area in Sq. Ft.
/4z)DZ) gd''
5. ADDRESS ZIP Maio Floor Upper Floors Garage Area Storage –
CHANGE OF USE FROM TO Area of Decks Finished Basement Unf in. Basement
6.
No. Baths No. Stories No. Rooms No. of Dwellings
TYPE
❑ NEW ❑ ALT. XAD'N. ❑ RPL. 0 MVE. /
7. OF xi OTHER
WORK
0 BLD. 0 PLMB. 0 MECH. 0 M.H. 0 POOL ` CERTIFICATE Req'd. Recd. Not Req'd.
_,k ML6-tCAp_i of EXEMPTION h
DESCRIBE W•REnum.Ap Enum. Dist. I Location (Area)
8. FEES COLLECTED
C//'' / I le ' �Gp�Q �L` �
VALUATION SOURCE GAS ELECTRIC WAl ER SEWER Ownership USE CODE
Cid.Dda Public ❑Private V
UTILOITIFES 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 iL¢'
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 41.—.26--Ft) V
SIGNATURE OF APPLICANT 1 1/16J ,„41,,,41; Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE Plan Check
Env ealth . /./.0_,s......_
SEPA c0i
Pla ng Q
/SOK
Mobile Home ..)
Fire Marshall WgAli v"4t' IL,
Co.
Engineer Other (Specify)
UtilitiesDD
TOTAL $1,6 l,:.7'
Plans Examiner
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist THIS BECOMES A PERMIT.
B ilding T- hnic .n PERMIT IS NONTRANSFERABLE 0 '4.—24:.- 8'+ 0 ' 9 6,0 z * 8 6+0 Q -
4A A. .0., • . J. . • PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL
v ►r
•
PROP45. O
/7- ADo/r/4//
/7� .27/
PRaPosED //� / 3,
r e
NI
_ I
1