1980, 01-31 Permit: 80-798 Remodel PLAN NUMBER APPLICATION/PERMIT PERMIT NUMBER I
SPOKANE COUNTY — BUILDING CODES DEPARTMENT CCOO^^//V 77
re
NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509) 456-3675 DATE - / gd
APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 4 COPIES
0 (j
JOB ADDRESS /447,43' * �' (i./J.
�y/- G2,3,Lett et• LEGAL DESCRIPTION - SEE ATTACHED ; �; C; ti::
1 6;OT SUBDIVISIOPARCEL NUMBER/S
4.6,5-4,/ _.i7/�-DFJ6-i4)/FI ,� (i ii 0 r ``
2. W7 4 ',J QA-61,_ o r 8 ,r3 k.K 4f i/.ERftC/ ,Esr.4D1, E
OWNER PHONE * 6,
3. c.v _ r_r e... , 92B-46 7f ,
ADDRESS ZIP Required SeRacks in F e7C :'
21 / '1�./�-euteij, g9Q,j7 North South East 'West 1 -3 _,? 0
!TRACTOR PHONE Size of Parcel Zone Classification
4. CO-.r/i441 ,`v. 6.Ct 7 9..
AD RESS ZIP Type Const. Occupancy �t r Sprinklered
....4,4•4e)4441-d ❑Yes ❑No ❑ Req'd.
DESIGNER PHONE Vall/etion .,,c,, 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. 4 4L,6v,EI
TYPE No.Baths No. Floors No. Rooms Rec. Room
❑ NEW ❑ ALT. ❑ AD'N. ❑ RPL. ❑ MVE. 42 'ZJ �r .L11 �/
7, OF OTHER ��C( ^^^^fill
WORK ❑ BLD. ❑ PLMB. ❑ MECH: ❑ M.H. POOL CERTIFICATE Req'd. Rec'd. Not Req'd.
of EXEMPTION
DESCRIBE WORK
8. ' -. ` r- !,l''.44411_,44,041.. Ai AoLe .R 1.4 a A/�fz FEES COLLECTED
A UATION S rce GAS L CTRIC WATER SEWER
9.1? 4 of
e Utilities
Single $
I hereby certify that I have read and examined this application and have read the "NOTICE" provisions included ! (` pd
on reverse side, and know the same to be true and correct. All provisions of laws and ordinan e• governing this Building 7'7
type of work will be complied with whether specified herein or not. The granting of a Ait mi ..es not presume
to give authority to violate or cancel the provisions of any other state or I. I j:w re• n• .Jstructi.n or the
performance of construction. ///, / Plumbing
DATE t'-3/- e) SIGNATUREMr Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS: •
DEPT. REQ'D. REC'D. ///��' Plan Check
Env.Health D/� 7-�12 1 ,/'27 //T/- Al' \ " SEPA
Planning _ �.�
n
Mobile Home ..-a
Fire Marshall -•
Co. Engineer Other (Specify/714-4P-
TOTAL
)
Utilities
Zone Clearance
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist THIS BECOMES A PERMIT. 0
/----.. i-yd . _ �` t h: is .�� U ] r
DATE OFFICIA___ i� ij�.
APPROVED FOR ISSUANCE _