1980, 05-13 Permit: 80-4699 AdditionIPL .AN NUMBER
APPLICATION/PERMIT
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3 COPIES
JOB ADDRESS
1.c j39)
LOT
2.
3.
BLOCK
l
SUNNIS' N• z iQ /J,i,(J
p-1-'
PHONE
ADDRESS
CO TRACTOR
4./.i4Yf--
RESS
J It /tk/, 4
DESIGNER
5.
LEGAL DESCRIPTION - SEE ATTACHED
PARCEL NUMBER/S.2`-5"5. —' e j--jg
T 04-K
T l M,C3/E",2L 4A/E 15T A. PI
ZIP
PHONE
Actual Set Backs in Feet
North....t."6 'South id
Size of Parcel
AID/ X /jd i
/ r/
East b West
ZIP
Const.
Okpancy
Zone Classification
-�j'{�//�
(
Sprinklered /
❑Yes ❑No ❑ Req'd.
PHONE
ADDRESS
ZIP
tion
dodo --
Upper Floors
Main Floor
Building Area in Sq. Ft.
Garage Area
Storage
CHANGE OF .JSE FROM
6.
TO
Area of Decks
Finished Basement
Unfin. Basement
TYPE
7. OF
WORK
❑ NEW
❑ BLD.
❑ ALT.
❑ PLMB.
AD'N.
0 MECH.
❑ RPL.
❑ M.H.
❑ MVE.
O POOL
0 OTHER
No. Baths
No. Stories
I
CERTIFICATE
of EXEMPTION
No. Rooms
No. of Dwellings
Req'd.
Rec'd.
Not Req'd.
,\
DESC IBE WORK
Enum. Dist. I Location (Area)
SOU CE GAS
OF
UTILITIES
ELECTRIC
WATER
SEWER
Ownership
Public 0 Private
USE CODE
VALUATION
4:SDU
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
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. SEE REVERSE SIDE FOR REQUIRED INSPECTIONS
DATE OF APPLICATION
SIGNATURE OF APPLICANT ?le' \ I ,O.U4f1,
SPECIAL APPROVALS
NAME
DATE
Env. Health
Nor-AA9'.o G, X
Planning
Fire Marshall
Co. Engineer
Utilities
Plans Examiner
� -�-57r3
SEPA Checklis
Buildin Te hnician
SPECIAL CONDITIONS:
jnoxc Dcrccyl s AA/. / f 4,0
(14G s_t. /210
OA/ 5T rs,c pt,z
r
PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
FEES COLLECTED
Single $
Building
Plumbing
Mech.
Plan Check
SEPA
Mobile Home
Other (Specify)
ore
$
TOTAL
PERMIT NUMBER
� b94?
02* *7400
*74:00 i
*74.006
B
469,8
05-13-80
6.479
*UUU
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
DATE ISSUED
80
699
PERMIT NO.
* 11 F -
TOTAL
x/02 02 4/?A A, y / &JAS' #
k
PPRCLL A, 0 ii,(13Ep
/- (;A1 VCS(p (a (U)
41 l - - , _(