1980, 12-09 Permit: 80B-4663 Residence PLAN NUMBER APPLICATION/PERMIT PERMIT NUMBErt
z' ' ��9 a SP Y -
O KANE COUNT •�f�1ILDING CODES DEPARTMENT gU 4 �� 6
JNORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509)456-3675
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
JOB ADDRESS
1. F_ ,STzZ 't5 ' iavt
LEGAL DESCRIPTION — SEE ATTACHED
LOT BLOCK SUBDIVISION PARCEL NUMBER/S
2. 3 z 54-oi'...4°
°S N'at:,irior3
OWNER PHONEx
3. 441,62acr lti, rR>A t ?C, St-fit Z3534-o3o 5
ADDRESS ZIP Actual Set Backs in Feet
'J, 1335 t-BtZ.QAt.i- Qt:tZC?'Z North 319 ISouth East 1'S' Iwest t5'
CONTRACTOR PHONE Size of Parcel Zone Classification
4. aMrc 1oc 13Ci' $i ,\ c ..€ FM &u.y 6 ;',
ADDRESS ZIP Type Const. Occupancy Sprinklered
Some Dyes 0N 0 Req'd.
DESIGNER PHONE V luation Building Area in Sq. Ft.
5. 5Z.(pci 0
ADDRESS ZIP Main Floor Upper Floors Garage Area Storage —
13i .3sz-
CHANGE OF USE FROM TO Area of Decks Finished Basement Unfin. Basement
6. 1 33i
TYPE / No.Baths No. Stories No. Rooms No. of Dwellings
LrJ NEW ❑ ALT. 0 AD'N. 0 RPL. 0 MVE. Z 1 (p 1
7, OF ❑ OTHER
WORK IFf BLD. 0 PLMB. 0 MECH. 0 M.H. 0 POOL CERTIFICATE Req'd. Rec'd. Not Req'd.
of EXEMPTION 4/
DESCRIBE WORK Enum.Dist. I Location (Area)
FEES COLLECTED
8 -SfIVU(.S F M11lry est rDe.,/ t /Tt r► I
VALUATION SOURCE GAS ELECTRIC WATER SEWER Ownership USE CODE
OF
526,ga UTILITIES G Public 0 Private C+J/ 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 #ZC(Z.,00
type of work will be complied with whether specified herein or not. The granting of a permit does not sume Building
to give authority to violate or cancel the provisions of any other state or local law regulating const6ructio r the
performance of construction.SEE REVERSE SIDE FOR REQUIRED INSPECTIONS Plumbing
DATE OF APPLICATION /:2---5--,6e.J SIGNATURE OF APPLICANftir o 0 Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE Plan Check
Env, al// / �j
,Z�',i L 2/ SEPA �.
Pla Hing ca
Fire Marshall Mobile Home ma
Co. Engineer Other (Specify) -
Utilities
TOTAL $ Z,o O
Plans Examiner 2
`r PUS`YZ WA-i7. 12/5./.70 WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist THIS BECOMES A+PERMIT.
Building Technician , ,r PERMIT IS NONTRANSFERABLE 1 217.40,9'!";18 0! 4 6 f6.3 z' *2 9 i0021-2 -
/2/slat. ��
Weso �.� PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL
,y
- p LOT F I kN AM s_R 1 CA N FSA.rA i'r:
ii ►(o/80
A
L.E_ A i o ,�T 3, -01 oci\ 2
S LO Ate sAADLt 1
zk#
•
. DRAIN r- trt D ID MIN ,
, . Grog ?fop- LitJE. • r.
- .. .� I
f
I
i . r. ', r 7- . . . L
• IS t e�'i
r I• 1
'3d: 3 •• (l
70-0 �.F ay- in p`1 -
Ib
0 GAR AC1 F 133 t s p, cT, • t ,
}
—'----167.°-7--- 2. 1x ';' -r RPcNCf--R• 150
''''.1' • C1' `(per
£'xi)AO5IDN Sj Jrgi q8' -
lam' \ � , t, i �_�
r
\ \ ..:,
It' c;-Nct. 1 \
' ' '' .:;:';:::::'. .-*:7':::-:::4.:,,'''.:-: '''-::i'''.'.-:.-:':';:r::::: :'..'":- n . .,'''''-.1._. \
}6;7 Mixt t
o �} ���� r�fa� \ \ tb
� oaoO \ \ /
T
RE£Z" PAV C D 1, CURBE D \ r�T�- ,' ^ F. -. . SC AL.F I/I b'