1980, 06-09 Permit: 80-5540 Residence PLAN NUMBER APPLICATION/PERMIT IPL1RMIT NUMBER
Ft - 7 'O 1 SPOKANE COUNTY - BUILDING CODES DEPARTMENT en -.4- --41V-
NORTH
� - -
NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509)456-3675
( APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
0 2 * * 2 0 6 0 0
JOB ADDRESS LEGAL DESCRIPTION — SEE ATTACHED
1. E ,E, 45.4tA, ` ik * 206. 00 ctii
LOT BLOCK SUBDIVISIO PARCEL NUMBER/S ,R, G 0 6 0 0 c)
2. 2 1 Revious Addition
OWNER PHONE E - * 0 0 0 u
3. Larry Pepl inski , Bldr. 928-6090 2''544`z156Z 54 1,9
ADDRESS ZIP Actual Set Backs in Feet
P.O. Box 14410 Spokane, Wn. 99214 North 'South 3c=,' East 13' 'West E ' 0 6-0 5—8 0
CONTRACTOR PHONE Size of Parcel Zone Classification
Same B(.. YIN,(4,.z- Single family El 6479.
4' ADDRESS ZIP Type Const. Occupancy Sprinklered
Same Frame Single Dyes ❑No ❑ Req'd.
DESIGNER PHONE Valuation Building Area in Sq. Ft.
;e'e0 32,,x'60 1016 8
5' ADDRESS ZIP Main Floor Upper Floors Garage Area Storage -
X - -
CHANGE OF USEk-ROM TO Area of Decks Finished Basement Unfin. Basement
6.
No.Baths No. Stories No. Rooms No. of j Dwellings
TYPE X(NE`,^i ❑ ALT. 0 AD'N. 0 RPL. 0 MVE. 1 1 5
7. OF 0 OTHER CERTIFICATE Req'd. Recd. Not Req'd.
WORK 0 BLD. ❑ PLMB. ❑ MECH. 0 M.H. 0 POOL
of EXEMPTION _
DESCRIBE WORK Enum.Dist. ILocation (Area) FEES COLLECTED
8. Single family residence I
VALUATION SOURCE GAS ELECTRIC WATER SEWER Ownership USE CODEOF
9. UTILITIES >jtL Public 0 Private Single $ 242/000
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 it
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 Plumbing
7 ., ( /27
y
DATE OF APPLICATION SIGNATURE OF APPLICAN3 `t' = - -' n Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS: v
Plan Check
NAME DATE
Env ea h �_
6///c SEPA
Planning 7 -
c.)
_ Mobile Home
Fire Marshall � tiS fidl•c
Lf `, Ft —
Other(Specify)
Co. Engineer
ii.2422. o0
4
"APPROACH PERMIT REQUIRED'"
Utilities .00
Contact County Engineer's Office TOTAL $
Plans Examiner
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist THIS BECOMES A PERMIT.
Buildi Technician PERMIT IS NONTRANSFERABLE 06 ! 09 - 80 5 7 40 o * 206,GU; O I-
-
-2,-a, GfS��c' PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL
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' Spokane Trusses & lfhoIesaIe :Lumber
I...--.) 10410 FAST JACKSON O SPOKANE, WASHINGTON 90208 • i (609)924-2420 i44.
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