1980, 07-29 Permit: 80-7830 StoragePLAN NUMBER�� APPLICATION/ PERMIT
-� SPOKANE COUNTY - BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
JOB ADDRESS
1. , ` "1
LOT BLOCK
2 OWNER..
3.
APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3 COPIES
LEGAL DESCRIPTION - SEE ATTACHED
SUBDIVISION PARCEL NUMBER/S -
PHONE LJr a JLC k e ! ; ,:i
ZIP Actual Set Backs in Feet
i
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE
En 2H h
Planning
Fire Marshall
Co. Engineer
Utilities
Plans Examiner
PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
Plan Check
SEPA
Mobile Home
PERMIT NUMBS^
)2* *10,00
*1 0.00
*10006
E *0.00 00
779,82
07=28y-80
6.479.
Other (Specify)
29 Cj
TOTAL $.G,
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
r 't
07.-2=80 78'3.02
DATE ISSUFD PFRMIT ND
*10.00°F
Tr1TA I
North CJ South4d
East 141 West ;
CONTRACTOR
PHONE
Size of Parcel
Zone Classification
'
4' ADDRESS
ZIP
Type Const.
Occupancy
Sprinklered
❑Yes ❑No ❑ Req'd.
DESIGNER
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.
-
TYPE �t-i
lsl NEW ❑ ALT. ❑ AD'N. ❑ RPL. ❑ MVE.
No. Baths
No. Stories
No. Rooms
IN6. of Dwelling
7, OF ❑ OTHER
-...
,
CERTIFICATE
Req'd.
Recd.
Not Req'd
❑ BLD. ❑ PLMB. ❑ MECH. ❑ M.H. ❑ POOL
WORK
of EXEMPTION
DESCRIBE WORK�jj'
�i�-
Enum. Dist. Location (Area) FEES COLLECTED
k'-. .�r
8. f.. Lr 1_ ./ L7.G9/L^y� d i ;
VALUATION OURCE GAS LEC RIC WATER SEWER
Ownership USE
;f C'�
UTILOITI--S
Public ❑Private ❑
Single $
1 hereby certify that I have read and examined this application and have read the
"NOTICE" provi iops inc
on reverse side, and know the same to be true and correct. All provisions of laws and ordinanc goN erninBuilding
type of work will be complied with whether specified herein or not. The gr
Iluded
of a permit d es,hot prto
give authority to violate or cancel the provisions of any other state or cal law regulating co suction
performance of construction. SEE REVERSE SIDE FOR REQUIRED IN ECTTIION
Plumbing
DATE OF APPLICATION = ;t._� `"
Mech.
r% _. FIGNATURE OF APPLICANT
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE
En 2H h
Planning
Fire Marshall
Co. Engineer
Utilities
Plans Examiner
PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
Plan Check
SEPA
Mobile Home
PERMIT NUMBS^
)2* *10,00
*1 0.00
*10006
E *0.00 00
779,82
07=28y-80
6.479.
Other (Specify)
29 Cj
TOTAL $.G,
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
r 't
07.-2=80 78'3.02
DATE ISSUFD PFRMIT ND
*10.00°F
Tr1TA I
Ek/57/A/
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