1980, 07-25 Permit: 80-7714 Residence PLAN NUMBER
/ ! APPLICATION/PERMIT PERMIT NUMBER €
g- M 7( . /fO SPOKANE COUNTY — BUILDING CODES DEPARTMENT -77/y
NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509)456-3675
�j APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
JOB ADDRESS C2 * * 3C4 CC
1. G.�"s; /8�'`'/ 'WE DESCRIPTION — SEE ATTACHED * j 0 t 0 0
LOT BLOCK SUBDIVISION PARCEL NUMBER/S * 3 0
L 0 0 X
2. 3 2 V/ . t1 1/46w .2/9.47 Ago/77O/L'
OWNER PHONE E * ( U C
3. 2)9 A>vc .W- //E/M3/5s/✓Er2 cir4-3 ao Zs53z—/cio 3 `i C 5 5
ADDRESS 7� IPe
ZIP
jActual Set Backs in Feett
Be D.10 "0767 ", North3-2' ISouth801 East_ft r 'West 32' 0 7_ 1 Li _8 0
CONTRACTOR PHONE Size of Parcel Zone Classification
4. 5$4,0iE "' /a o x'/S/ca ACR/• • Ba.B9N G 6.4 7 c
ADDRESS ZIP Type Const. Occupancy Sprinklered
❑Yes 0N ❑ Req'd.
DESIGNER _ PHONE Valufi/ion Building Area in Sq. Ft.
5. '7'54+,3c'rs /1` O
ADDRESS ZIP Main Floor Upper Floors Garage Area Storage _
NC b !a.
CHANGE OF USE FROM TO Area of Decks Finished Basement Unfin. Basement
6. f_ ____ 615C.)
TYPE ,,/ No.Baths No. Stories No. Rooms No. of Dwellings
CJ NEW ❑ ALT. ❑ AD'N. 0 RPL. El MVE. 47 / /
7. OF ❑ OTHER
WORK
Vill3LD. 0 PLMB. 0 MECH. 0 M.H. ElPOOL CERTIFICATE Req'd. Rec'd. Not F,eq'd.
of EXEMPTION _ Y/
DESCRIBE WORK Enum.Dist. I Location (Area)
I
8. SAKyeer n//G R.ieeovt:E it/D.`'c, If4:4,,,gc- FEES COLLECTED
r✓
VALUATION SOURCE GAS ELECTRIC WATER SEWER
�/ Ownership USE CODE
L,3-e) UTILLITIES P�/G Public ❑Private 14 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 /A5'o/,6>D
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 INSPECTIOy Plumbing
r
DATE OF APPLICATION -71--/V'- (f0 ,
OF APPLICANT /i.•l/ l ' -', i44`.111r ' Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE Plan Check
a
E t^, ,2 '�� Ac„, G SEPA� >-
�a n_
Planning O
c�
Fire Marshall Mobile HomeiLi
Co. Engineer / "....(24_..-9/14-L.ZA /7i' Other(Specify)
Utilities /- /
TOTAL $ L/ CC
Plans Examiner 7
-Fa L `a-S 4t/i1 /S– WHEN MACHINE VALIDATED IN THIS SPACE,
SEP- C ecklist THIS BECOMES A PERMIT.
NO Go HO fr"I CI, Z
Buildin• `_ PERMIT IS NONTRANSFERABLE [) 42 5 -8,077 .14S' 1` 304001
. r+ PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. .TOT,AL
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