1980, 07-25 Permit: 80-7645 AC PLAN NUMBER APPLICATION/PERMIT PERMIT NUMBER
SPOKANE COUNTY — BUILDING CODES DEPARTMENT _7 6
NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509)456-3675
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES 0 p. * *7,0 0
JOB ADDRESS
1. 1-9/4, /C-% 1;"‘ I!EGALLDESCRIPTION — SEE ATTACHED * 7.0 0 ro
LOT BLOCK SUBDIVISION CS PARCEL NUMBER/S * '700`
2 E * 000
OWNER* d PHONE a s
3 ADDRESS / �y ZIP Actual Set Backs in Feet 7 6 4.4.z
�„r ,. � North 'SouthEast 'West 0 7—2 5 8 0
CONTRACTOR / PHONE Size of Parcel Zone Classification
71°,::,,c. /', Z—t.r_r,,' to et-i Ted ✓z d" i-s" s ` z 6 4 7 9,
4. ADD ESS ZIP Type Const. Occupancy Sprinklered
r
�✓ 2, Aer /J,[/ 9 ..Wi' ❑Yes ONO ❑ Req'd.
DESIGNER PHONE Valuation Building Area in Sq. Ft.
5. ADDRESS ZIP Main Floor Upper Floors Garage Area Storage —
CHANGE OF USE FROM TO Area of Decks Finished Basement Unf in. Basement
6.
TYPE ,..y No.Baths No. Stories No. Rooms No. of Dwellings
IrnLIVEW ❑ ALT. ❑ AD'N. 0 RPL. 0 MVE.
7. OF /� Cl OTHER Req'd. Recd. Not Req'd.
WORK ❑ BLD. ❑ PLMB. .{yI,�MECH. ❑ M.H. ❑ POOL CERTIFICATE
of EXEMPTION
DESCRIBE,WORK Enum. Dist. ILocation (Area) r
$ idee A7 ee. / fg. l FEES COLLECTED
VALUATION SOURCE GAS
a2/RIC RIIC WATER �SEWERG� I
Ownership USE CODE 49, er
OF
9. UTILITIES i Public 0 Private 0 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
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 7`2 '' C, SIGNATURE OF APPLICANT % (�/ / Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE Plan Check
Env. Health
SEPA c
Planning C
C
Fire Marshall Mobile Home L
L
Co. Engineer Other(Specify)
Utilities ��
TOTAL $9
Plans Examiner
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist THIS BECOMES A PERMIT.
ng T ician` PERMIT IS NONTRANSFERABLE 0) 7--2,5 -8 0 7 6 4.5 S5 *7. 0,0 °.
— Z� PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL