1980, 08-01 Permit: M80-8032 ACPI -AN NUMBER APPLICATION/ PERMIT
M PERMIT NUMBER
�( SPOKANE COUNTY — BUILDING CODES DEPARTMENT
PNORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
JOB ADDRESS
1. L:, /3107- �2eorN LEGAL DESCRIPTION —SEE ATTACHED
LOT BLOCK SUBDIVISION PARCEL NUMBER/S
OWNER
PHONE
C—us7 0 I CKSON
0.2 `f,2�08
3
ADDRESS
ZIP
Actual Set Backs in Feet
/
/3"7o7— oi�G,%/i
99- o"6
North South East West
CONTRACTOR
PHONE
Size of Parcel
Zone Classification
b'i}NNE C ti f uEL
S35 -i % 1
4.
ADDRESS
ZIP
Type Const.
Occupancy
Sprinklered
/V la � l z�1[ L-6 .
`?9,;?&2-
❑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.
No. Baths
No. Stories
No. Rooms
No. of Dwellings
TYPE 1:1 NEW ElALT. ElAD'N. 1:1RPL. ❑ MVE.
7, OF ❑ OTHER
❑ BLD. ❑ PLMB. IQ MECH. ❑ M. H. ❑ POOL
CERTIFICATE
Req'd.
I Rec'd.
Not Req'd.
WORK
of EXEMPTION
DESCRIBE WORK
Enum. Dist. Location (Area)
FEES COLLECTED
VALUATION
SOURCE
GAS
ELECTRIC
WATER
SEWER
OwnershipUSE
CODE
9.
OF
UTILITIES
Public E) Private ❑
Single $
I hereby cert,fy 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
performance of construction. SEE REVERSE SIDE FOR REQUIRED INSPECTIONS
Plumbing
r.,,T.--,,,,,1 T 71012, -- -r --A— -Al.TQ IeO—o/
Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS:
PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
Plan Check
04* *7.00
*7.00
*7.000
E *0,00
80312
08-01-80
z 6,479.
SEPA >
0
C
C.
Mobile Home
U
Other (Specify)
TOTAL $ 7. co
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
08'-0l-8-0 80A25
DATE ISSUED PERMIT NO.
*7.00°
TOTAL