1980, 01-07 Permit: 80A-9842 Duplex PLAN NUMBER APPLICATION/PERMIT PERMIT NUMBER
5 (5)oSPOKANE COUNTY — BUILDING CODES DEPARTMENT � � 1 8��
NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509) 456-3675 DATE I- 4F-4-140
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 4 COPIES
C2 * * 32800
JOB ADDRESS LEGAL DESCRIPTION — SEE ATTACHED
1. E . 671z- 610-- 1 ! TH AVE * 32.8 00
LOT BLOCK SUBDIVI ION PARCEL NUMBER/S
�
2. � \\10, 1 riC e -� r� (- C 1��i�D''1 _ .-j
* 328.00
WNEF3 0l' , PU 4PHONE
' � 31/21i' 41gg 2 / s� C) f 1 E * 0. l U
3 Yom/ADDR/\ N ` {-. {� �ZZIP �-1 Required Set Backs in Feeatn���r/� _ Cf R A, 1
10,2 & E.Q,�Yt. 1 b'r, %1206 North! _ISouthjirle/ East .5
/F West
CTRACTO HONE Size of Parcel Zone Classification 0 1 —C 7—3 0
ic i ♦ ��'.,'P'C r rr-,P r%—f- -i` C.e Sl�S1Y,l ti(%n �2A,),i 7s 11 V✓ X o . `i� -row Fore., 1,1 4..., . G (14 7.
4' A DRESS kr
- ZIP Type Const. Occupancy Sprinklefed
(� 1 O .
f ' �' ❑Yes ❑No ❑ Req'd.
t-. /�; / 16^ ( kY-/�4' / G/. Sf�nRAh(� f � .2() � Y �IV �- 3
DESIGNER PHONE Valuation Building Area in Sq. Ft.
rJ. ZIP DWL Area Basement Area Garage Area Storage —
ADDRESS j / &O I -c() ' /a[,u / ei
CHANGE OF USE FROM TO 1 Split Entry Split Level Rancher
6.6.
No.Baths No. Floors No/ '/Rooms Rec. Room
TYPE EVJEW ❑ ALT. ❑ AD'N. ❑ RPL. ❑ MVE. yL/ / / 7 .
7. OF n LD. ❑ PLMB. ❑ MECH: ❑ M.H. ❑ POOL ❑ OTHER
WORK LCERTIFICATE Req'd. Recd. Not Req'd.
of EXEMPTION 1 --
DESCRIBE WORK �ry FEES COLLECTED
8. 4./1.� (} 14';x 7 (j(tI-,,if i,v,de' r - 0e, �S (..-1-1-,( Is ct
y,ALUAtION, Source GAS ELECTRIC WATER SEWER
tQ}� of [� /
9 6 '4'./ j 0 �/, C L of
�`�' t ¢ 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 Xr
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 Plumbing
performance of construction. �)
C
DATE SIGNATURE /� / I Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS:l
DEPT. REQ'D. RECD. Plan Check
0.44.1 11-PAC O W rt - oI 75-
Env,Dalt /0-41,-c..4 �P J / O
�/ O / SEPA — I—
v c_,
Plannin
S - ECIC Yc t D FLoOP 412.E-P. W
a.
A 1 A A�p Mobile Home
Fire Marshall ,v 'vvl�l �
►.x.toc GARB
Co. Engineer ,—..--------
ngineer -r
'`
-r-N- C.*r 4.)
4 Z E Other (Specify)
223-1 — — 1—
Utilities 'T"—5"'S� 00
cONCWrE PgAvF--WA0Y 1�ANDO1-j" TOTAL $ 328 X17
Zone Clearance �p h1611J'E,�.AS
f P- vIP P �y WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
SEPA Checklist ''"�� j/���// 1 _ f 7i (,' J� ) c. ,A 3 2 ), IJ h
DATE�L aFFICIAL�l,/�'M 1 ! 4, 2 ` 0 l
APPROVED FOR ISSUANCE
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