1980, 06-09 Permit: 80-5539 Residence PLAN NUMBER ' APPLICATION/PERMIT PERMr NUMBER w
—7 I SPOKANE COUNTY — BUILDING CODES DEPARTMENT `I 60 -G ct
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. 15321 9th 02 * * 2 0 6 0 0
LOT BLOCK SUBDIVISION PARCEL NUMBER/S
2. 4 1 Revious Addition * 2L)• 00
175
OWNER PHONE ac.-.3 * 2V004„,(4/. u
3 Larry Peplinski , Bldr. 9286090 - 4.scxl
ADDRESSZ 9214 Actual Set Backs in Feet E * �; fJ Q E.
P. O. Box 14410 Spokane, Wn. North Co1 'South 4::,' East 1 3 'West J'
CONTRACTOR PHONE Size of Parcel Zone Classification 5 4 2. 1
Same BOX zs.ic Single family
4' ADDRESS , ZIP Type Const. Occupancy Sprinklered 0 6—0 5`= 8 0
Same Frame Single ■Yes ❑No ❑ Req'd. 4 6,47'c
DESIGNER PHONE Valuation Building Area in Sq. Ft.
'=Tri 432,.gOo 1016 1
5. ADDRESS 6.-- 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 XI NEW ❑ ALT. ❑ AD'N. ❑ RPL. 0 MVE. 1 1 5 1
7. OF 0 OTHER
WORK ❑ BLD. ❑ PLMB. 0 MECH. 0 M.H. 0 POOL CERTIFICATE Req'd. Rec'd. Not Req'd.
of EXEMPTION
DESCRIBE WORK Enum.Dist. I Location (Area) T
8. Single family residence I FEES COLLECTED
VALUATION SOURCE GAS ELECTRIC WATER SEWER Ownership USE CODE
OF
9. UTILITIES &Pi tC 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
Building 46Zr,
type of work will be complied with whether specified herein or not. The granting of a permit does not presume
..t7io.0
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____' QW SIGNATURE OF APPLICAN- ...v.- -:::-; ' .moi. Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS: f
////����
NAME DATE Plan Check
Env. HkaIZ6tL'
• 4/' SEPA j
Planning
Wlv S es ry t" i LC:. U
w
Mobile Home
Fire Marshall CE
Other (Specify)
Co. Engineer "APPROACH PERMIT REQUIRED"
Oa
Utilities Contact County Engineer's Office TOTAL $ 246.00
Plans Examiner
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist THIS BECOMES A PERMIT.
Buildin Technician PERMIT IS NONTRANSFERABLE 0 6 `0 9. - 8'0 5 5 3,9 z *2 0 6. 0 0 a p'
`7/vlfr1 ' - 6/5-AU PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL
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Spokane Trusses et tik7h(criesia-10e. Lurtrtbert, Enc.
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10410 EAST JACKSON 0 SPOKANE, WASHINGTON 99206 0 ' (5O9)924-2420
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