1980, 06-11 Permit: 80-5616 Damper PLAN NUMBER APPLICATION/PERMIT PERMIT NUMBER
,
�AA-Tin SPOKANE COUNTY — BUILDING CODES DEPARTMENT 1 1 n-' - (o 160
NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509) 456-3675 DATE
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 4 COPIES
04 * * 7,00
JOB ADDRESS
1. /.2o 22 - .2,P,u/
LEGAL DESCRIPTION — SEE ATTACHED * 7,0 0 U7
LOT BLOCK SUBDIVISION PARCEL NUMBER/S * 7 0 0 Y
2.
OWN R PHONE B * 0,0 0 S
3. . �s10,</j ' 92Y SI- z , 5 6 1.5
ADDRESS
Cg > Required Set Backs in Feet
e2- a 22/, 1 / 9�b, North 'South East (West 0 6- 1 1 -8 0
COO TRA_C O P�HOONE Size of Parcel Zone Classification 4 7 9
9
4' ,fg' a,.." „0.... -ADDRESS ZJ��/'9 / Type Const. Occupancy Sprinklered
j.2"'' ' /27�0q / / .2/ lU ❑Yes No ❑ Req'd.
DESIGNER C! PHONE Valuation Building Area in Sq. Ft.
5' ADDRESS ZIP DWL Area I Basement Area Garage Area Storage —
CHANGE OF USE FROM TO Split Entry Split Level Rancher
6.
No. Baths No. Floors No. Rooms Rec. Room
TYPE ❑ NEW ❑ ALT. ❑ AD'N. ❑ RPL. ❑ MVE.
7. OF ❑ OTHER
WORK CIBLD. ❑ PLMB. MECH. ❑ M.H. D POOL CERTIFICATE Req'd. Rec'd. Not Req'd.
of EXEMPTION
DESCRIBE WORK
GL 4
,, FEES COLLECTED
8. J AJe
VALUATION ou
GAS ELECTRIC WATER SEWER
ofGa G
Single $
9. Utilities /
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. Plumbing *7
DATE CP /a- a SIGNATURE / 0
Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS:
DEPT. REQ'D. REC'D. Plan Check
Env. Health
SEPA o
I—
Planning _ w
0.
Mobile Home cn
Fire Marshall z
Co. Engineer Other (Specify)
Utilities
O D
TOTAL $
Zone Clearance
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist THIS BECOMES A PERMIT.
` va 7, 00E
,��Y��1 yyy.�rr�� J U r
DATE OFFICIAL 1�jVIVVtI� �~�� U �I. ,l.', '�� a�U
APPROVED FOR ISSUANCE _