1980, 12-30 Permit: 80B-5330 Residence PLAN NUMBER APPLICATION/PERMIT PE EMIT NUM BER
R- .2- 8 ' I a�30��� SPOKANE COUNTY - BUILDING CODES DEPARTMENT �FOS 0
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/ NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
JOB ADDRESS `
I�1-41/4 ��` LEGAL DESCRIPTION — SEE ATTACHED
LOT BLOCK SUBDIVISION PARCEL NUMBER/S
,'' r_ 0 2: 0 0
2. a Z. scop.'S IND.D.i'TKA 1)
OWNER PHONE C it
3. Atmea.KEP I r1)G -"6,5=11‘ 2 34-OZOCD
ADDRESS ZIP Actual Set Backs in Feet (1 'r_ j'
S. 133c, FEAR.F14.4., gQzO'Z.. North 311 (South East 2271 (West '2_7' ; - —`, 0
CONTRACTOR PHONE Size of Parcel Zone Classification
A+1a 5:38 A I-3C. Su 4(.e- 'Rah%tc.1/4,l _ r_ 0 7 9.
4' ADDRESS ZIP Type Const. Occupancy Sprinklered
1'N'Y11C Oyes ❑No 0 Req'd.
DESIGNER PHONE Valuation Vir et. Building Area in Sq. Ft.
5. ADDRESS ZIP Main Floor Upper Floors Garage Area Storage -
i5(610 '� Q?sT7
CHANGE OF USE FROM TO Area of Decks Finished Basement Unfin. Basement
6. %Cao 44.4vC4).; (iv Cp4.„( No.Baths No. Stories No. Rooms No. of Dwellings
�
TYPE y NEW 0 ALT. 0 AD'N. 0 RPL. 0 MVE.
Z I CO
7. OF 'BLD. 0 PLMB. 0 MECH. 0 M.H. 0 POOL ❑ OTHER CERTIFICATE Req'd. Rec'd. Not Req'd.
WORKof EXEMPTION V
DESCRIBE WO,rtK Enum.Dist. I Location (Area) I -
8.511*}[- (L- ` K.y .�tr51 Dqur- CAR�AC.f F A`ry OC.t•1C.0 I FEES COLLECTED
VLIONi, SOUOFCE GAS ELECTRIC WATER SEWER Ownership USE CODE
r AU T
UTILITIES yG Public ❑Private 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 z,6.0
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 c.- tructi. or the
performance of construction.SEE REVERSE SIDE FOR REQUIRED (NSP iiibS Plumbing
DATE OF APPLICATION SIGNATURE OF APPLICA 1-a ‘Lc.., .,Ii Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE 111
Plan Check
Env.L allth
1_6t C'o/�
/2/30 SEPA o_
anning
O
w
Fire Marshall Mobile Home
Lr
Co. Engineer Other (Specify)
Utilities
TOTAL $ZAZ.414,
Plans Examiner
-1--CA4POSTI6EktiA rr 1Z/�/ WHEN MACHINE VALIDATED IN THIS SPACE,
f /CEPA Checklist ! THIS BECOMES A PERMIT.
�/ Buildin echnician FI , O J -
} PERMIT IS NONTRANSFERABLE '}, 2 -3-11'4'0! 5'3 3.0 g *'2 9 ..'0 0 a r
9 ' �f IZ
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL
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.,2 - 13 45Q, FT,
GARAGE V
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U►JDE�
`6 ao x 29 0 0 . 4 •
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