1980, 08-20 Permit: 80-8830 ResidencePLAN NUMBER l
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324cic # iz -l-=
APPLICATION/PERMIT
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / 1509) 4563675
APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3 COPIES
JOB ADDRESS
1. /a/o h-' /7 77
LOTI BLOCK SUBDIVISION
2.5 2 -
LEGAL DESCRIPTION - SEE ATTACHED
So -.whirs /Pyo/TDN
OWNER
3, QTR COwcr Co .
ADDRESS
P4 tOA /*'2.17 SJ'O C-4 -rr 1.64
CONTRACTOR
.SA/fF
ADDRESS,
4.
5.
PHONE
912 -U'v
PARCEL NUMBERS
24s4/ -2 7as'
ZIP
992/9
PHONE
Actual Set Backs In Feet / f
yy
North arc (South/%j East
1111 IWest ser
Size of Parcel tor% Classinu tion
90x
it -v“
DESIGNER
ZIP
.Type Constt, 11 Occupancy
/"Rt44Y/a .Sw / refot
Slit. /-iMY /*Cr
cl
Sprinkler d
Dyes iStN0 0 Read.
PHONE
aluation Building Area in Sq. Ft.
SDII /7 7
ain Floc/ per FIoo s Garage Area `� Storage
576 ay) ,syy. I -9-
rea of Decks 1 Fini ed Basement Untin. Basement
N PO
Valuation (242
ADDRESS
ZIP
CHANGE OF USE FROM
6.
TO
43- 6 -
TYPE
7. OF
WORK
53.NEW
BLD.
❑ ALT. 0 AD N. 0 RPL.
❑ PLMB. 0 MECH. 0 M.H.
❑ MVE.
❑ POOL
0 OTHER
NO. Baths
2 -
No. tori,
No. Rooms
6
No. Of Dwellings
/
CERTIFICATE
of EXEMPTION
Reo'd.
Recd. Not Redid.
DESCRIBE WORK / ,y- I
6. .4_0 4.l oc 2•C CA , iVsvtQ4e . 0 l�t�et!r-iC tet,
VALUATION SOURCE OAS ELECTRIC WATER
�SD/ doe, `S UTILOITIES V/TR - VORA-
Enum. Dist.
SEWER
,4'j1PT/C
Ownership
Location (Area)
USE CODE
Public l]Privato)(
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
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
DATE OF APPLICATION S -H 10 SIGNATURE OF APPLICANl(TJ,c !
SPECIAL APPROVALS
NAME DATE
Env
Alli
lot
Planning
Fire Mardian
Co. Engineer
Ut ii it ies
•
g
EP
Building Technician
SPECIAL CONDITIONS:
.8.425/e-fr' d at) 1492S f 87.3 //
PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
FEES COLLECTED
Single $
e.'•1
Building •' 16
Plumbing
Mech.
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL
J,
$
1 HERMIT NUMBER l
go - ssSZ
;t2* *2E600
*28600 ti
*286006
*000 8
88292
08-20-80
2 6479.
•
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
'8'20'ti8''0
DATE ISSUED
883,05 r286.00212 -
PERMIT NO.
TOTAL
•
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