1980, 04-10 Permit: 80-3350 Repair Fire Damage PLAN NUMBER APPLICATION/PERMIT PERMIT NUMBER
SPOKANE COUNTY — BUILDING CODES DEPARTMENT 80
NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509)456-3675
APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3 COPIES
JOB ADDRESS 02 * * 3250
1.E. /4/0/6 ea ryuE. LEGAL DESCRIPTION - SEE ATTACHED * 3 2 5 0
LOT BLOCK SUBDIVISION , ro-RcEL NUMBER/S * 3 2. 5 G
2. 1 /e 67bfeV /7A WA/ A06/7>4.1/
OWNER PHONE C * Q Q 0 3
3. Jim 5q hroiv 125'-0;3io 26Seie-07o/
ADDRESS ZIP Actual Set Backs in Feet 3 3 4,9 9
6, /UQ/d 2OT'`/191/6 99637 North !SouthEast 'West Q!1- 1 0-80
CONTRACTOR PHONE Size of Parcel Zone Classification
4. Aldi/c E/ ,v>- O/5e..5' /VoRTHwas; INC, .3-..1 -6737 6,4 7 9,
ADDRESS ZIP Type Const. Occupancy Sprinklered
6-7/Z. 6. /sr 9t ZO6 Oyes ❑No ❑ Req'd.
DESIGNER PHONE Valuation Building Area in Sq. Ft.
2p,d, —
5. ADDRESS ZIP `Main Floor Upper Floors Garage Area Storage —
CHANGE OF USE FROM TO Area of Decks Finished Basement Unfin. Basement
6.
TYPENo.Baths No. Stories No. Rooms No. of Dwellings
❑ NEW ❑ ALT. 0 AD'N. 0 RPL. 0 MVE.
7, OF 0 OTHER Req'd. Rec'd. Not Req'd.
WORK
0 BLD. 0 PLMB. 0 MECH. 0 M.H. 0 POOL CERTIFICATE
of EXEMPTION
DESCRIBE WORK Enum.Dist. Location (Area)
FEES COLLECTED
8. Repel/ ' Fr Re 0.9.-4/14'6–
ry VALUATION SOURCE GAS ELECTRIC WATER SEWER Ownership USE CODE
Jlr1 OF
9. 2000.Z..9 UTILITIES Public ❑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 SIGNATURE OF APPLICANT Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE Plan Check
Env. Health Root 9c6 Aisaiffir–. f/eE7R /ii, G/vi,,c./ ,9oai4/
SEPA 2
Planning `
&We'?ce-- fiicc A.?act oit, ,C//c'e--Pc/1cc- - W
Fire Marshall Mobile Home i
219/n17 7-/-4n4 .- 04:47
Co. Engineer Other(Specify)3'a _
Utilities
• TOTAL $ 52'56
Plans Examiner
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist THIS BECOMES A PERMIT.
Buildin echnician PERMIT IS NONTRANSFERABLE 0114 `-. 0 -8 0 3 3`5,0 * 3 2.5 0 d F--
� f /I//b/�s'd PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL