1980, 10-06 Permit: 80B-1478 Siding, Soffit, Fascia PLAN NUMBERAPPLICATION/PERMIT PERMIT NUMBER
/� !O OD SPOKANE COUNTY — BUILDING CODES DEPARTMENT $�'� TS
CU ) NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3 COPIES
JOB ADDRESS U G * * 5 6 0 (`
1 QSUBDIVISION
_ //// tt LEGAL DESCRIPTION - SEE ATTACHED
LOTBLOCK KBDIVIS N PARCEL NUMBER/S (� .
( � 3 0,,,,17
2. * 5 6. 0 0 r.-
OWNER PHONE
3. Cera/d n, (;cmacAt, 9q8-5347 r. * ç ( ;
ADDRESS ZI Actual Set Backs in Feet4/� r i''
C , 1)1/ 7- q 1, , North [South East (West
CONTRACTOR� � �� PHONE Size of Parcel Zone Classification I ( —06—FC
!✓y1V
4. C Qt/ 6rUit/41 5 9ofj-L/6�6 6479
ADDRESS /� ZIP Type Const. Occupancy Sprinklered
N, 3/O/ ,4 ���rronne,, -C/ gga2Q4 Oyes ❑No 0 Req'd.
DESIGNER PHONE Valuation Building Area in Sq. Ft.
S, o2D7�°
5. ADDRESS ZIP Main Floor Upper Floors Garage Area Storage —
CHANGE OF USE FROM TO Area of Decks Finished Basement Unfin. Basement
6.
TYPENo.Baths No. Stories No. Rooms No. of Dwellings
D NEW ❑ ALT. ❑ AD'N. 0 RPL. ❑ MVE.
7. OF OTHER 0 BLD. ❑ PLMB. ❑ MECH. 0 M.H. ❑ POOL Req'd. Recd. Not Req'd.
WORK A y� , of EXEMPTIOND SCRIBE)IRK RK �"�� Enum.Dist. 1 Location (Area) T
8 )416#(.:1-
41 l, ° V �C it FEES COLLECTED
VALUATION SOURC GAS ELECTRIC WATER SEWER
9 �.) y r/ ^� OF Ownership USE CODE +
IASV / [N UTILITIES Public D Private El $66/00
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
type of work will be complied with whether specified herein or not. The granting of a permit does not presume Building t
to give authority to violate or cancel the provisions of any other state or local law regulating construction or t
performance of construction.SEE REVERSE SIDE FOR REQUIRED INSPECTIONS Plumbing
DATE OF APPLICATION SIGNATURE OF APPLICANT / Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE Plan Check
Env. Health
SEPA
Planning D,J
—
Fire Marshall Mobile Home `a
i
Co. Engineer Other(Specify)
Utilities 1 w
TOTAL $56,
Plans Examiner
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist THIS BECOMES A PERMIT.
ildii4,g Tech ici r PERMIT IS NONTRANSFERABL l r) —.0, 6'-'8'G' 1 4 7, 8 (' • i 5 b.lJ 8 ;:
r►�y
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL