1980, 07-24 Permit: 80-7585 Renewal-ResidenceAPPLICATION/ PERMIT
NUMBER
IPERMIT
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES — PRESS
HARD TO MAKE 3 COPIES
0 2 * * 2 0, 0 0
* 20. 0 0 i
JOB ADDRESS
J ��i�%v
LEGAL DESCRIPTION —SEE ATTACHED
1 L��ll-G�
* 2 0. 0 0 U
LOT
BLOCK
ISUBDIVISION
PARCEL NUMBER/S 119
`�J�D}�
TW/Z
2.
//,�,�I'� % (/.y
6a/ 061 LV �y
C
L * 0. 0 0 CO)
OWNER
PHONE
3. %?%,
�- /�
1% o` VV
758,42
ADDRESS
ZIP
Actual Set BadSKs in Feet
North South East West
07-24-80
CONTRACTOR
PHONE
Size of Parcel
Zone Classification
/3d X' 6 ej=a
6479.
4' ADDRESS
ZIP
Type Const.
Occupancy
Sprinklered
I /
❑Yes ❑No ❑ Req'd.
DESIGNER
PHONE
Valuation
Building Area in Sq. Ft.
5.
/ ��
—
ADDRESS
ZIP
Main Floor
U
Upper Floors
Garage Area
Storage
CHANGE OF USE FROM
TO
Area of Decks
Finished Basement
Unfin. Basement
6.
TYPE ❑ NEW ❑ ALT. ❑ AD'N. ❑ RPL. ❑ MVE.
No. Baths
No. Stories
No. Rooms
No. of Dwellings
7. OF ❑ OTHER
CERTIFICATE
Req'd. I
Recd.
Not Req'd.
WORK ❑ BLD. ❑ PLMB. ❑ MECH. ❑ M. H. ❑ POOL
of EXEMPTION
DESCRIBE WORK
8. '' w✓ �Y �GoG�
Enum. Dist. Location (Area) FEES COLLECTED
VALUATION SOURCE GAS ELECTRIC WATER SEWER Ownership USE CODE
OF
9. UTILITIES Public ❑ Private ❑
r
Single $
1 hereby certify that 1 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
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
h.
DATE OF APPLICATION ,2 fgv SIGNATURE OF APPLICANT MecZ1
SPECIAL APPROVAU9 SPECIAL CONDITIONS:
NAME DATE Plan Check
Env. Health
SEPA
C/
Planning
Fire Marshall ��J Mobile Home
pL I�LiC.C/
i
Co. Engineer Other (Specify)
Utilities d
TOTAL $
Plans Examiner
WHEN MACHINE VALIDATED
IN THIS SPACE,
SEPA Checklist THIS BECOMES A PERMIT.
Bui ing echnician PERMIT IS NONTRANSFERABLE 0'71- q - S`0
7 5:8.5 z 2 0, 0 0 a F
�� °� Z12,51146 PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED
PERMIT NO. TOTAL