1980, 11-04 Permit: 80B-3218 Residence PLAN NUMBER APPLICATION/PERMIT PERMIT NUMBER
/ , ,I1-3),s > SPOKANE COUNTY BUILDING CODES DEPARTMENT 8c513-1S2-16
NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3 COPIES
JOB ADDRESS (- 2 * 2 9 8` 0 r
LEGAL DESCRIPTION - SEE ATTACHED
LOT BLOCK SUBDIVISION PARCEL NUMBER/S
2. a 1 .5c.c)/4/`vr: AOk)1 ri0/✓ RePe'fr */ * 2 9 0 0 0
OWNER PHONE
3. CR'-'4/4 64s-rae.4,26 VS S--497SZ Z35.39'- /00 / P. * 0 ,0 i; ..
ADDRESS ZIP Actual Set Backs in Feet 3 1 7
E. i..Q_s-: 3Orfr qqzo3 North 7Z' 'South 33' East 17.35' 'West 140'
CONTRACTOR PHONE Size of Parcel Zone Classification 1 1 — 0 4-8 0
.5tim6- /30.7 /0/•85` z/fie( F. /fi.y b 4 7 G
4' ADDRESS . ZIP Type Const. Occupancy Sprinklered
S/ S ❑Yes ❑No ❑ Req'd.
DESIGNER PHONE VaAgation Building Area in Sq. Ft.
'S` a CS � Ic 3(...
5. ADDRESS ZIP Main Floor Upper Floors Garage Area Storage —
CHANGE OF USE FROM TO Area of Decks Finished Basement Unfin. Basement
6. otcp 1 Z SO
No. Baths No. Stories No. Rooms No. of Dwellings
TYPE
NEW D ALT. 0 AD'N. 0 RPL. 0 MVE. 3 "7- g )
7. OF ❑ OTHER
WORK BLD. 0 PLMB. 0 MECH. 0 M.H. 0 POOL CERTIFICATE Req'd. Recd. NotReq'd.
of EXEMPTION I
DESCRIBE WORK Enum. Dist. I Location (Area) '
FEES COLLECTED
8. S'iiU446" ,M7/41,Ir i i:311)G /GE 44 4i9 /'/71V F® l
coll VALUATION SOURCE GAS ELECTRIC WATER SEWER Ownership USE CODE
9, 54 OSft UT 5EprlC Public 0 Private 11a'
/ 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 Building 4 �Q8•enO
type of work will be complied with whether specified herein or not. The granting of a permit does not presume
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
DATE OF APPLICATION
Z.',—/e) SIGNATURE NATURE OF APPLICANT/ Salk-- �����14/10Z0V Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE vvv Plan Check
E I .
//c J SEPA t,_
Planning <7
— w '
Mobile Home
Fire Marshall
1
Co. Engineer Other(Specify)
Utilities
TOTAL $z'ia.CZ?
Plans Examiner
-11.)141 /96:6-11—E444rl e' ylCJ WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA ChecklistO THIS BECOMES A PERMIT.
�Buildinn c a
Technin )
d I
PERMIT IS NONTRANSFERABLE 111-,8 ''~��8� 3.2.18 g. *2'9'&002 IJ-
:�:✓ (s., 2Y (a�'��3PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL
`PxvPEtTY L,r1E
1 1
1
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y r
L ` G I (: GSI F v
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:0 24� 4 m
56?TLC TANK .100 ALL.
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-14_4; t + IT .35120'
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101.851 p1c0P6•I�Z'( 144441..et) ) O
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