1980, 06-05 Permit: 80-5431 Addition 1IPLi-V.i NUMBER APPLICATION/PERMIT 1 -
PERMIT NUMBER
SPOKANE COUNTY — BUILDING CODES DEPARTMENT 1 ge J ���
NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3 COPIES
JOB ADDRESS 0 2 * * 1 2 E 0 0
1.e //r�AD dp I/.�,�G LEGAL DESCRIPTION - SEE ATTACHED * 1 2 E 0 0
LOT BLOCK SUED $+ON PARCEL NUMBER/S gg `5['7 ..,, 4//`3`
2/.„5:14., . ,:it4.., 1.'CL4- .�/.�-Z,Z.)--ii.:,-. kf)T A0-.1- :, :r * 12 E 0 0
OWNER PHONE
E 3. ,,(/ Qw(,,dtr 4 /4 .2:.(- / * 0 0
ADDRESS �J ^ jr-f�l� �LfZ/J %CJiC.itl?%T
E
/I, ZIP Actual Set Backs in Feet (�
E %/L)/Jc)^ / "}� , ((k-%� .- R<P9- 7tEi/L-'vee_... c7 _�/-Gd C., North /le ° (South �C4° East .._.-3e/ 'Westq^'c
CONTRACTOR I PHONE Size of Parcel Zone Classification
06-65'- 80
eeJ.E-1.:4-uC
4. AD RESS ZIP Type Const. Occupancy Sprinklered
_ -1/411,-0 'r".- ❑Yes ❑No 0 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 Unfin. Basement
6.
TYPE No.Baths No. Stories No. Rooms No. of Dwellings
❑ NEW 0 ALT. N AD'N. 0 RPL. 0 MVE. --
7, OF 0 OTHER
WORK ❑ BLD. 0 PLMB. 0 MECH. ❑ M.H. 0 POOL CERTIFICATE Req'd. Rec'd. Not Req'd.
DESCRIBE WORK of EXEMPTION A.
Enum. Dist. Location (Area)
a/41-41/4-- {� y7
FEES COLLECTED
8. "-° 1 sf/f?P 46.0 vc ieot�eGi..-4 .ezt r;,, t I
VALUATION( SO RCE I GAS ELECTRIC WATER SEWER Ownership USE CODE
9. UTILITIES Public ❑Private N
/ 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
,r.:,
DATE OF APPLICATION ''- -e549 SIGNATURE OF APPLICANT Xl ¢b ch.
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE Plan Check
Env( h
•
��W 44 /
SEPA
>--
Planning .4.4.4X ,,,,t 1,- � .¢� r e 1L
oCb ) moi'`
Fire Marshall -. Kj�3 0`,16i AIJJV �t Mobile Home w
-I
Co. Engineer Other(Specify)
Utilities 1�
TOTAL 7$$/-4.0...'---
Plans
2,'--'Plans Examiner
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist THIS BECOMES A PERMIT.
Building Technician? PERMIT IS NONTRANSFERABLE r '- Q.5 - 33 : 43, 12 * 128. 00o 12
-
-cP ; , (_ 4- PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL