1980, 10-16 Permit: 80B-2089 Residence MEM /0/76/co APPLICATION/PERMIT PERMIT NUMBER I
SPOKANE COUNTY — BUILDING CODES DEPARTMENT s rZc,sek
Basic Plan NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509) 456-3675 DATE 10 — / g 0
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 4 COPIES r.
JOB ADDRESS LEGAL DESCRIPTION — SEE ATTACHED
1. /�qo� ��s�- l o
Z
LOT SUBDI�O�N S w act 1+j b PARCEL NUMBER/S /�
OWNER _ t �l. C, J� ! ���oG.r"1..J,•��C. PHONE �� � ��'�"'� �',V� _ ... ..
3 ADDRESS / ZIPP / Required/Set Backs in Feet �i
at o0 I S ' co k 00.--i7 9cO." North 4! / 'South 3 East .2 V (WestclZ VO
CONTRACTOR_ PHONE Size of Parcel I�1 Zone mslecation j n
4' ADDRESS 1"'/,rJ ZIP Type Const. cupancy ❑Yes iri k1'I"❑ Req'd.
V 1■V) -.3
DESIGNER PHONE Valuation Building Area in Sq.yt.
ADDRESS ZIP DWL Are Basement rea Garage Area Storage
'7 9 '794 No . NoNe.
CHANGE OF USE FROM TO Split Entry Split Level Rancher
6. Y\
,../, No. Baths No. Floors No. Rooms Rec. Room
TYPE ANEW 0 ALT. 0 AD'N. 0 RPL. 0 MVE. , / f�, i3o
7. OF L.0 BL0 PLMB. 0 MECH: 0 M.H. 0 POOL 0 OTHER CERTIFICATE Req'd. Rec'd. Not Req'd.
WORK
of EXEMPTION
DESCRIBE WORti
-�'
Cl
8. .Si le_ `a esfctee (e --ciecket.4ac ed - 0. G.«..ra_5 c FEES COLLECTED
VAL ATION Source GAS SELECTRIC WATER SEWEF�
9. 3�L�bQ. ee Utilities 1'301 0 NE. V e.,IN__ 0e,fa.... 6* sp4rc_.
Single $
I hereby certify that I have read and examined this application and have read the "NOTICE" provisions included R��,
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 'ranting of a permit does not presume
to give authority to violate or cancel the provisions of any other stat: .r lolal IavJ -gulati I construction or the
performance of construction. Plumbing
!1
DATE 10 r 7— O G U SIGNAZUR• `.rte' Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS:
DEPT. REQ'D. REC'D. Plan Check
Env. ,IIth 'l
61- .d /O//3 SEPA
Planning — w
0
cn
Mobile Home
Fire Marshall z
Co. Engineer Other (Specify)
Utilities
TOTAL $
Zone Clearance ,
f WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist i THIS..,,BF�{ICOWS A ERMIT. *
f JO $e f ' � I I 1 �9 is U. ( `1 i 9
DATE `�1C's[8'OFFICIAL - — .L
APPROVED FOR ISSUANCE -
kvc!uested Price
. Lot Cost ` / ' ...,,-,z:, -`=
i
a
PLOT PLAN
aJ ct � . v
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I '794 5f/, t- I
, .5 ' \ c edroo* 5 • a6: � .
j ry FF = 502;3' 7 r
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rc \ ELEVATIONS: i
` ✓�� Crown of Street_T__ i_-_____
JG�. i �' // C - Finish Floor_
Paving y S
��;. Curbing ' c�cs --
Scale: i .20'
Basic: Sq. Ft. Legal '
4)cid ,4 ,
•
Model : Job # Address
Mortgage Co. Parcel P Backwater Valve: Special Items:
%�c(- L. N 0....�k 1A35441 - 44io7 fJ o 7' \ c ` hoc.
Power Co. • Water Co. Garage: Front Alternate:
Plumber Excavator Sewage: Fire Place:
f
��\ �� r\ �val� Ze�%� r G 7 F'S NWCS FORM = L-7