1980, 12-29 Permit: 80B-5267 Residence PLAN NUMBER I APPLICATION/PERMIT PERMIT NUMBER ,
Pg.- 20 /2729/ SPOKANE COUNTY - BUILDING CODES DEPARTMENT .8,1),43—,-5-..27�`
(3,/ NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
JOB ADDRESS LEGAL DESCRIPTION — SEE ATTACHED
1. 6.,s7 ig' i5-r" ALe
LOT BLOCK SUBDIVISION PARCEL NUMBER/S
2. 2 £t_p#,,0'S AIZipti"r 1 OA)
OWNER PHONE - ;� .
3. ArekV2,c,v.la.) t= arek..ir..) 54 ,5t(L 2-3`.5. 4--0:3cra
ADDRESS ZIP Actual Set Backs in Feet
>;'✓r7-ZfL�i_.. Ctfled?Z- North Z.' (South in' East 3t1 (West 3(' - s_
CONTRACTOR PHONE Size of Parcel Zone Classification r'-- 1 `
4. . /VtE iOOX I.3C.,, siNGt.E cI�al'►'iIc,si i 7 r:
ADDRESS ZIP Type Const. Occupancy Sprinklered
S'r4m E V—N (Z-3 ❑Yes ❑No 0 Req'd.
DESIGNER PHONE Va uation ng Area in Sq. Ft.
Building
43zz 1 t+26,
,
5. ADDRESS ZIP Main Floor Upper Floors Garage Area Storage -
6oco (off 43c, ,.—
CHANGE OF USE FROM TO Area of Decks FinishedBasement Unfin. Basement
6. Scx,
No.Baths No. Stories No. Rooms No. of Dwellings
TYPE gNEW 0 ALT. ❑ AD'N. 0 RPL. ❑ MVE. , Z 'Z. CO 1
7, OF ❑ OTHER -
WORK Di BLD. 0 PLMB. ❑ MECH. 0 M.H. 0 POOL CERTIFICATE Req'd. Rec'd. Not Req'd.
of EXEMPTION Vii
DESCRIBE WORK Enum,Dist. I Location (Area) T
FEES COLLECTED
Ecic6 T. m I Ly `i�c aOE( CC C tkre_PC�C_ kiTexciASO I
4 VALUATION SOURCE GAS ELECTRIC WATER SEWER Ownership
CODE
9. 4.3,2.24- UTILITIES S yL Public 0 Private ml 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 4t2Building ! I6. •00
type of work will be complied with whether specified herein or not. The granting of a permit does n. .resume
to give authority to violate or cancel the provisions of any other state or local law regulating constru ,r th
performance of construction.SEE REVERSE SIDE FOR REQUIRED INSPECTIONS f N. Plumbing
DATE OF APPLICATION rZ/ /�® SIGNATURE OF APPLICA rk1 + ! / . Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE Plan Check
Env. a th
�_1— //q SEPA 2
/
Plan ng oU
Fire Marshall Mobile Home
Co. Engineer Other(Specify)
Utilities
TOTAL $ 2go•00
Plans E IIPr
/- i/��_/`4 4/2 ' a WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Cif
I';r/ ; THIS BECOMES A PERMIT.
0.---
o
ilding Tech/nicianJ PERMIT IS NONTRANSFERABLE 1 2 2 -18 b' 5'2 �,7Z *'2 5 �! 0 n I�-
1 ,2•/ PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL
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