1980, 03-19 Permit: 80-2379 Damper PLAN NUMBER1 APPLICATION/PERMIT PERMIT NUMBE''
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
SO.--
NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509) 456-3675 DATE
APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 4 COPIES
U4 * * 7. 00
JOB ADDRESS 74 LEGAL DESCRIPTION - SEE ATTACHED * 7,p p
1. /i,,ji �7 1 .47 'y
ro
LOT BLOCK SUBDIVISION PARCEL NUMBER/S *7 0 0
2.
OWNER PHONE E ' (1i.0 0 tce'-
A
3. o ,�
ADDRESS J+�./�I(/�/ /� / ZIP
t� a// Required Set Backs in Feet 2 3 8
42. /9 S/,j. a/cG..tiY'� �✓�' �l �/`/(� North South East (West p 3- 1 9-8 0
CONTRACTOR PHONE Size of Parcel Zone Classification
4. A-o`�f Q.4_f��, /-4,,,t1 fez./ i-vL Vial -a1o,y _ z 6.47 9,
�+ADD/�RES�)S / ZIIPP % Type Const. Occupancy Sprinklered
ti/o1 7 /V i.�/0iteA.G{ creci �r2A"e 4/�.. I'. a /f7 ❑Yes ❑No ❑ Req'd.
DESIGNER 1 PHONE Valuation Building Area in Sq. Ft.
5. —
ADDRESS ZIP DWL Area 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. 0 RPL. 0 MVE.
7, OF 0 OTHER
WORK
0 BLD. 0 PLMB. 0 MECH: 0 M.H. 0 POOL CERTIFICATE Req'd. Rec'd. Not Req'd.
of EXEMPTION
DESCRIBE WORKFEES COLLECTED
r
8. 1,4,- y a/7
S a f/ 1-i N / IDIesKr el.- / -i 6--&--5 �._,,�
VALUATION Source GAS ELECTRIC WATER SEWER
of
9. Utilities 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
Plumbing
performance of construction.
DATE .,_?---/2 —g—U SIGNATURE /.-G:.. i -`� 3,0o
/I - Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS ( �fi�l c?L t/d4>
DEPT. REQ'D. REC'D. �i v/ Plan eck
Env.Health ` // �:r
r SEPA `-
u
Planning — 'cp
ri
Mobile Home
Fire Marshall
Co. Engineer tv fc Ala /s ?d j�`&"•9 O Other (Specify)
Utilities g:0 TOTAL $ 7
Zone Clearance
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist /1 S.AMMIT. 9 670 0 O
DATES-19 2aFFICIAL
APPROVED FOR ISSUANCE -