1980, 09-12 Permit: 80B-75 Residence PLAN NUMBER I lam,=r NUMBER
APPLICATION/PERMIT
r\ ' - ' ) 9/,a/& SPOKANE COUNTY — BUILDING CODES DEPARTMENT 6O8 �`'
NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
JOB ADDRESS L n �t * C' 1 ( O O
LEGAL DESCRIPTION — SEE ATTACHED
1.;}� i; 1�., / "' h C t, . . 2 1
LOT BLOCK SUBDIVISION PARCEL NUMBER/S'+,i_ ,-
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2.
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OWNER PHONE . L rl I.:?`A. .'"
3. ik " i',.I 15 L, Lt., -' 1.- >5- t e , �s 1 'w-:
ADDRESS ZIP Actual Set Backs in Feet 9 �` 2.9,
'l 4 ; . 14::/ 4,' .t 11, W. .. r. �„A,.j L ,'-;� .;,/ // f `
fib,,, ,'.�� r;. .,x � ,,c, +� North / Southam. �-' East ' West
CONTRACTOR PHONE Size of Parcel Zone Classification 0 ?— n 9;a,.. p J
/r ( / l
: .„1, - of -' i X. ✓ / Glk�,�t C L.(lie A,e.( 0.J%_.(�
4' ADDRESS ZIP Type Const. Occupancy ° Sprinklered r' 6 �L 7 (.
!_.r(. --( DYes ❑No El Req'd.
DESIGNER PHONE Valuation Building Area in Sq. Ft.
. I -
5' ADDRESS ZIP Main Floor Upper Floors Garage Area Storage _
CHANGE OF USE FROM TO Area of Decks Finished Basement Unfin, Basement
6. d _-
No.Baths No..Stories No. Rooms No. of Dwellings
TYPE Q NEW ❑ ALT. ❑ AD'N. 0 RPL. 0 MVE. / /`
7, OF 0 OTHER
WORK ElBLD. 0 PLMB. ❑ MECH. ❑ M.H. I=1POOL CERTIFICATE Req'd. Rec'd. Not Req'd.
of EXEMPTION
-
DESCRIBE WORK Enum.Dist, I Location (Area) '
FEES COLLECTED
8. ,., ' i d, i!.. '
i,, VlALUATION SOURCE GAS ELECTRIC WATER SEWER Ownership USE CODE
t OF Public 0 Private
° }ar”/� " 'UTILITIES IN
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 -
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 `' `cr5> 5 , SIGNATURE
/ SIGNATURE OF APPLICANTa,X ° `, 1;v , , Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE Plan Check
Env. Health
e///S q7/2,&o SEPA >-
o.
Planning C
L
Mobile Home u_
FireMarshall
U.
Co. Engineer Other(Specify)
Utilities
TOTAL $ .-:.v'
Plans Examiner
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist THIS BECOMES A PERMIT.
Builcying Technician PERMIT IS NONTRANSFERABLE 0 94-1'2 -.8 0 .z *12 1 a.0 Q a
t / .
.1i,,;,:1,/,' G. `�-'. 1,-`"- PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL
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ti COUNTY OF SPO K A N E
SPOKANE , WASHINGTON
SPOKANE COUNTY BOARD OF ADJUSTMENT Case No." )- - ErO ,
Date: 9 0
CERTIFICATE OF APPROVAL FOR ADMINISTRATIVE VARIANCE
1 . Name: M iSCO eCii 4_ 12472_6.
2. Mailing Address: W. 3p/p 6712,0-yip wa1' , SPvwee- . 99c2c7`t"
3. Legal Description of Property:
Zr, or 7 8A-K 3 5Ag2le-5 ,e719,vineK .
4. Administrative Variance Requested: / I4,/,/te.1.-ZtiSZYcitess/
4
5. Approved by Zoning Adjustor on 9Q�,(��
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