1980, 08-19 Permit: 80-8783 Residence PLAN NUMBER i 9 8� APPLICATION/PERMIT 8� Ek
PERMIT�VUMBEk
- ' 1�4 -8
C.)
// SPOKANE COUNTY BUILDING CODES DEPARTMENTNORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3 COPIES
JOB ADDRESS U2 * * 224,00
1. -" /0-3/4 !` f( �� LEGAL DESCRIPTION - SEE ATTACHED
LOT BLOC SUB I I d,N * 2 2 4.0 Q
PARCEL NUMBER/S :2.34 #.51- ;,._
2.3 .,QA)—(-JL4 LdJ '7`// * 2 2 4,0 0
f7]� j( /(
OWNER
PHONE
3. �-Z d�/4 i_
. -ivf_.. , ,iii—d it cL 4564-- /650 9.2-/1"_, -- _ ,�'.cV/LJ I'1 ,S A O• E * Q.0 0
�A,DDRESSJ //^^�r 1,7� ZIP Actual Set Backs in Feet j 8 5 4.2 S,
r 5702fi g ,,€ i.. .a 1V-6 A -P/`A' 6''� 1---,L/:.c.. North 30 . 'South ./? ' East •25 'West f , r
CONTRACTORpPHONE Size of Parcel Zone Classification 0 8- 1 4-8 0
0 -al'uQ , ' 'z i
0 yl6
4' ADDRESS :ti L X !' . ' L C1.7Q,iu14.. .1, 2 6 4 7 9.
ZIP Type Const. Occupancy YI Sprinklered
/1.4i.e._ ❑Yes ❑No 0 Req'd.
DESIGNER PHONE Valuation ` 10 Building Area in Sq. Ft.
5. 5 ,56/$`'3�zj�.7 ° j `, f
ZIP Main Floor Upper Floors Garage Area. Storage
I
CHANGE OF USE FROM TO Area of Decks Finished Basement Unfin, Basement
6. / ' Cs
TYPE No. Baths No. Stories No. Rooms No. of Dwellings
NI NEW 0 ALT. 0 AD'N. 0 RPL. 0 MVE. J
'
7, OF El OTHER wy
WORK ❑ BLD. 0 PLMB. 0 MECH. 0 M.H. 0 POOL CERTIFICATE Req'd. Rec'd. Not Req'd.
of EXEMPTION k
ESCRIBE WORK n
f ,� / ,�A,, Enum. Dist. I Location (Area)
8. ,L/ ',"-:4/- ladlt`fi.Q 1 SLY.ek, ( L.i FEES COLLECTED
VALUATION
r- SOURCE G ELECTRIC WATER SEWER Ownership USE CODE
.^,1`,)tree cM OF
UTI LIT ES Public ❑Private
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 BuildingA
type of work will be complied with whether specified herein or not. The granting of a permit does not presume Z '{
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
Allei
DATE OF APPLICATION , / .)i.....)— ata —T
i SIGNATURE OF APPLICANT �„/ x Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS: .,
1NAME DATE j yew , f J id_ a, —;24-_ / Plan Check
Env. / jJ��L/'" F /�" ✓1/Lrvv�► ,`
Planni®/ng/, // SEPA >-
0 '
O
U
Fire Marshall —
Mobile Home 1.4.1
Coj/���� eer q n- J� /J / Other (Specify)
( /eer 6/7/1.0
// ez et • b�`�1�mai t ji/ D.
Utilities
Plans Examiner
TOTAL $•*- �
IE/PAf /? Om, WHEN MACHINE VALIDATED IN THIS SPACE,
Checklist THIS BECOMES A PERMIT.
Bhdin ciary-j PERMIT IS NONTRANSFERABLE 0 '8 -,0,'91 8110+. 8'7 8. 3 z *2 2 4 U 0 a
"�"1(/llCti'Lt' PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED
PERMIT NO. TOTAL
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