1980, 05-30 Permit: 80-5150 Residence PLAN NUMBER 1
e 136 APPLICATION/PERMIT DERMIT NUMBER
18o _ s{,o
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509)456-3675 .
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
JOB ADDRESS 02 * * 201,CC
1. 6-, /00/g IS TN LEGAL DESCRIPTION — SEE ATTACHED * 2 0 1,0 C
LOT BLOCK SUBDIVISION PARCEL NUMBER/S GoyZ .aCet*39
2. Ws 3 q Gly/ti RSi rY �vfeCt c'i viuc:cs.7V ice. 0 v,� 4 LLy1G , -7 * 2 0 1,C 0
OWNER PHONE `i
3. 1904 d4 cdi3 V56..40o c., 205v/x/-c./as/o E * 0 C C 8
ADDRESS ZIP Actual Set Backs in Feet 5 1 1 9
67. 9723 S�?lSvtie 97e North ?5" 'South //) 1 East Si (West 9" _
CONTRACTOR PHONE Size of Pato! Zone Classification 0 5–3 0`–6 0
4. 5/9 Sv•rAs'di 'WI- S6'R8 4,./ - 6 4 7 9,
ADDRESS ZIP Type Const. Occupancy Sprinklered
❑Yes ❑No 0 Req'd. r
DESIGNER PHONE Valuation ?J (`��, Building Area in Sq. Ft.
33,172—al
cW
5. ADDRESS ZIP Main Floor Upper Floors Garage Area Storage -
✓51
CHANGE OF USE FROM TO Area of Decks Finished Basement Unfin. Basement
6. Agi1G1
TYPEkNo.Baths No. Stories No. Rooms No. of Dwellings
NEW ❑ ALT. ❑ AD'N. 0 RPL. 0 MVE. / / S'
7. OF WORK g BLD. ❑ PLMB. ❑ MECH. ❑ M.H. ❑ POOL ❑ OTHER CERTIFICATE Req'd. Rec' Not Req'd.
of EXEMPTION _
DESCRIBE WORK Enum.Dist. I Location (Area) FEES COLLECTED
8. SiN4cE Fistkiiicy RES/06/1/e
I
ii VALUATIQN SOURCE GAS ELECTRIC WATER SEWER Ownership ' USE CODE
OF
9. 9
;�#in,S2C UTILITIES i/1/�rP $Aff. 1/C. Public 0 Private Single $
I
I hereby ceri'`=,y 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 27,,00
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 INSPECTIO S / Plumbing
DATE OF APPLICATION q-'7-8v SIGNATURE OF AP'. I , — w 4 - Mech.
SPECIAL APPROVALS SPECIAL CONDIT ONS:
NAME DATE / '� /! ( / / Plan Check
5/realm 62-i�J- �i 4/l�i 7C-C'�. Gl'�,'' V� 51n
(��a2/ZOL—& GvSEPA 2.cning , - c
.7/ 11rn((� �.i r' C
Fire Marshall ' �`G n�i 1" y�. — �G6,n 11 L6
Mobile Home z•
D � rl�C/// l/`l_faIV1 ti Q'?_jyLl � L
Co. Engineer l[ Other(Specify)
1,1
Utilities / r _ l/ 5G
TOTAL $ '
Plans Examiner
-r-M POO- A,IJp r .51z-ti WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist THIS BECOMES A PERMIT.
ng Te ni 'an .. PERMIT IS NONTRANSFERABLE 0�5 i-,; 'G'. 8 0 5 .1.5. 0 *2 0 1. 0 0 n i -
_ PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL
/Vot�f� z,Ca -1--
L
ms ��L
LOT 2, BLOCK 39,
UNIVERSITY PLACE
SCALE 1=20
100
J
°-
56
1 2 1 2 0 40
�O
J
0
35
CO111 00 CO N 7
0
CC
10X22
w SLAB N
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4 30 › ..* 48
A
r
ISTH
OFFICE OF THE
SPOKANE COUNTY PLANNING DEPART EENT
Date_ AIA/4-Yds_ 9 �
_ Building Codes Department
>m Planning Department
bjoct._. Building_ Permit
The Planning Department has received a request from
/_3o, 2 60 for the release
of a building permit on the property as described on
the attach qd affidavit/legal description . It has been
determined.' that a building permit should be issued
under the provisions of RCW 58 . 17 . 210. This memo
and attached affidavit/legal description must accom-
pany the building permit application.
**This release will not authorize the holder to construct or apply for a
building permit to construct more than one residence on the lot described
below.
N`�. /5 L0CK <� G(4)/j/ c/;
"(4CL
,� / 10)/16