1980, 06-09 Permit: 80-5538 Residence PLAN NUMBER 1 APPLICATION/PERMIT rEamaUM 3�
I 7'O 1 SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
JOB ADDRESS
LEGAL DESCRIPTION — SEE ATTACHED
1. E. 15306 9th u �'*� * GbGC-
LOT BLOCK SUBDIVISION PARCEL NUMBER/S
2. 1 2 Revious Addition , ` 0(, 00 U
OWNER PHONE
3. Iarr Peplincki , Bldr_ �-+
928-6090 2351F-4(OZ 6- * 20600`
ADDRESS ZIP Actual Set Backs in Feet E * C 0 U r_:
P.O. Box 14410 Spokane, Wn. 99214 North 2.5et
1 'South -1� East S' 'West 1 S'
CONTRACTOR PHONE Size of Parcel Zone Classification 5 Li 2 0 f
4. Same ScD,S5CY I47.L(° S i no l P fami ly
ADDRESS ZIP Type Const. Occupancy Sprinklered 0 6- 0 5- 8 0
Same Frame single ❑Yes ❑No ❑ Req'd. z 6 ti. ,7 q
DESIGNER PHONE Valuation Building Area in Sq. Ft.
5. 1+•1--9'3'0 32'), 1016 C
ADDRESS ZIP Main Floor Upper Floors Garage Area Storage _
X - - -
CHANGE OF USE FROM TO Area of Decks Finished Basement Unfin. Basement
6.
No.Baths No. Stories No. Rooms No. of Dwellings
TYPE KNEW ❑ ALT. ❑ AD'N. ❑ RPL. 0 MVE.
7. OF 0 OTHER -
CERTIFICATE Req'd. Recd. Not Req'd.
WORK 0 BLD. 0 PLMB. 0 MECH. 0 M.H. 0 POOL
of EXEMPTION
DESCRIBE WORK Enum. Dist. I Location (Area) '
8. FEES COLLECTED
..71NC,�l. FA I
VALUATION SOURCE GAS ELECTRIC WATER SEWER Ownership USE CODE
9. wUTI LOTVIES ` IIG Public 0 Private ri Single $ 242.00
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 417_C)L.c�U
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.SEE REVERSE SIDE FOR REQUIRED INSPECTIONS, z Plumbing
DATE OF APPLICATION VS/tre SIGNATURE OF APPLICAN/ -e •�-J Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE Plan Check
Enalt�C)
//1 SEPA >-
Planning d.
O
Mobile Home w
Fire Marshall "_
Co. Engineer Other(Specify)
ivZ
"APPROACH PERMIT REQUIRED" .2k2.00
00
Utilities .2.12.90
Contact County Engineer's Office TOTAL $
Plans Examiner
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist THIS BECOMES A PERMIT.
B Idi Technician PERMIT IS NONTRANSFERABLE 0 6 —01:--8 .05 5 3,8 > * 2 0 6,0 C,, 2 �'
-
L, 47 .may r�
�' p G/-A' PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL
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Spokane Trusses & Wholesale Lumber, Inc. .1. !
10410 EAST JACKSON • SPOKANE, WASHINGTON 99206 0 (5091924-2420
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