1980, 10-22 Permit: 80B-2458 Insert PLAN NUMBER APPLICATION/PERMIT PERMIT NUMBER
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
/ NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509) 456-3675
/ APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
J7, G r,
1. o/OLE i24,7,5
4. v IaEGAL3DESCRIPTION — SEE ATTACHED 4 * *
L T CK SUBDIVISION PARCEL NUMBER/S * 7 n G
2. *7GG
0 A R
--//3 j A ;, Q G 0
3 'RESS Q� ZIP Actual Set Backs in Feet
,°�3 �-- ISouth 245, 7
North South East West
CT R North�NE Size of Parcel Zone Classification 22
�� 1- 41 7z 7` 3 -1a/ , 1 G- 7-8G
4. lL�1/r
K�ESSS 6,-
Is,. / / Z TType Const. Occupancy Sprinklered <`' 6:4 7 4.
/01=F il4eP .49c A0/ ❑Yes ❑No ❑ Req'd.
D SIGNER PHONE Valuation Building Area in Sq. Ft.
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
0 NEW 0 ALT. 0 'N. 0 RPL. 0 MVE.
7, OF 0 OTHER - Req'd. Recd. Not Req'd.
WO'K ❑ BLD. 0 PLMB. MECH. 0 M.H. ❑ POOL CERTIFICATE
r
of EXEMPTION
8.'I%:CRI W- C-%oy �_ ���o Enum.Dist. (Location (Area) T FEES COLLECTED
VALUATION SOURCE GAS/ ELECTRIC WATER SEWERUSE CODE
Ownership
OF
9. UTILITIES Public 0 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 r ulating construction or the
performance of construction.SEE REV RSE SIDE FOR REQUIRED INSPECTIO Plumbing
DATE OF APPLICATION / 117 PI SIGNATURE OF APPLICANT , 4) ,1,e1— ',4,4Cd Mech. 7 190
SPECIAL APPROVALS SPECIAL CONDITIONS: 4
NAME DATE Plan Check
Env. Health
SEPA or-.
Planning
_ C:,
Fire Marshall Mobile Home -i
Co. Engineer Other(Specify)
Utilities
TOTAL $ 7'"
Plans Examiner
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist THIS BECOMES A PERMIT.
Building Technician y PERMIT IS NONTRANSFERABLE 1 )'(i_•F Pj o *7, 0 �i t2i. F�--
e rfr e, r CJ -^ ""�i (l -
t'" �d��� PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL