1980, 06-02 Permit: 80-5209 Remodel 1PLAN NUMBER APPLICATION/PERMIT PERMIT NUMBER
SPOKANE COUNTY — BUILDING CODES DEPARTMENT 3d ..f:-.)-
NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3 COPIES
I
JOB ADDRESS 02 * * 25,00
1. eLEGAL DESCRIPTION - SEE ATTACHED * 2 5 0 0
LOT BLOCK SUBD VISION PARCEL NUMBER/S .5-.,,y -diiq
2.
�r '` :,7 * 25000
OWNER (��r ./.,::3 Lli li° � � Ly r f3 >\ a 1
O PHONE B * 0
3. '-�3-'�� i_t_QJ 9 2. '-X; ,'‘? L= -_ �.'c5-::---4-4DDR/ESS ZIP Actual Set Backs in Feet ti .;..,..c.;..,..c.&,','�j� 5 2 0,8
R.
e /t 71 . r (-/,.e f_e_ 1)P.,-: {., -i' 999LL- 7North 'South ‘---f.
. East + 'west
CONTRACTOR PHONE Size of Parcel Zone Classificati9n 0 6-0 2-8 0
4. /vii_(
AD-, RESS ZIP Type Const. Occupancy Sprinklered
//+/avi, Oyes ❑No ❑ Req'd.
DESIGNER PHONE Val tion a1L7Building Area in Sq. Ft.
5. /,'S"-r� -.m..- .,7 -5-.2...
ADDRESS ZIP Main Floor Upper l ...@oors Garage Area Storage
MEL
'
3,1'2 S -
CHANGE OF USE FROM TO Area of Decks Finished Basement Unfin. Basement -
6.
TYPE No. Baths No. Stories No. Rooms No. of Dwellings
❑ NEW 0 ALT. 0 AD'N. 0 RPL. 0 MVE.
7, OF 0 OTHER
WORK 0 BLD. 0 PLMB. 0 MECH. ❑ M.H. ❑ POOL CERTIFICATE Req d. Rec'd. Not Req'd.
of EXEMPTION
DESCRIB WORK
,(',titer Enum. Dist. Location (Area)
�.! I FEES COLLECTED
8. (�`yL-G` iK�:s'�-Cf' �►" Le'' (7 __41-0-1,1,L 1
,. VALUATION SOUR GAS ELECTRIC '}y WATER SEWER
_ �� I Ownership USE CODE
/J� OF
�J DG)'— UTILITIES Public ❑Private Single $
I hereby certify that I have read and examined this application and have read the "NOTICE" provisions included ' ,i_J
on reverse side, and know the same to be true and correct. All provisions of laws and ordinances governing this ---
type of work will be complied with whether specified herein or not. The granting of a permit does not presume Building
to give authority to violate or cancel the provisions of any other state or local law regulating construction or t. -
performance of construction.SEE REVERSE SIDE FOR REQUIRED INSPECTIONS----) , Plumbing
DATE OF APPLICATION �o - -� r ._
'r7 SIGNATURE OF APPLICANT Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE Plan Check
Env. Health
Planning SEPA
c�
Fire Marshall Mobile Home .'i
Co. Engineer Other (Specify)
Utilities A r,4e.)TOTAL $ .23
Plans Examiner
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist
THIS BECOMES A PERMIT.
RBuilding Teonicianj PERMIT IS NONTRANSFERABLE 0 '6 -0 2 -8.Q 5 2 0, 9 z *2 5.D. d F
k, --Z71„, PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL