1980, 08-14 Permit: 80-8563 SidingPLAN NUMBE
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 94t LEGAL DESCRIPTION — SEE ATTACHED
1. e', 1101'
2.LOT I BLOCK ISUBDIVISION PARCEL NjU,MBER/S
O OWNER �T—
PHONE
3. Paae.r/ F, 9A4-�4 35
ADDRESS`, ZIP al Set BackFeet
S. 116141 - a *7+ .� � 9"R04, NorthSouth East West
CONTRCACTOR PHONESize of Parcel Zone Classification
4. AD Type ZIP Type Const. Occupancy Sprinklered
'C
31ogo 0nrze � ❑Yes -]No ❑ Req'd.
DESIGNER !r� PHONE Valuation Building Area in Sq. Ft.
5' ADDRESS ZIP Main Floor I Upper Floors Garage Area I 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 1:1 ALT. El AD'N. ❑ RPL. ❑ MVE.
7, OF OTHER
WORK ElBLD. ElPLMB. 1:1MECH. ElM.H. ❑ POOL De CERTIFICATE Req'd. I Recd. Not Req'd4. .
of EXEMPTION
DE RIBE WORK Enum. Dist. Location (Area)
8.
�� j _� FEES COLLECTED
PAl " VALUATIONr.SOURCE GAS ELECTRIC WATER SEWER Ownership jnuded
�b
� UTILOITIES Public ❑Private ❑Single $
I hereby certify that I have read and examined this application and have read the "NOTICE" provisio
on reverse side, and know the same to be true and correct. All provisions of laws and ordinances goBuilding
type of work will be complied with whether specified herein or not. The granting of a permit does nto give authority to violate or cancel the provisions of any other state or local law regulating constru
performance of construction. SEE REVERSE SIDE FOR REQUIRED INSPECTIONS Plumbing
DATE OF APPLICATION '+ SIGNATURE OF APPLICANT 4Mech.
SPECIAL APPROVALS I SPECIAL CONDITIONS:
Plan Check
NAME DATE
Planning
Fire Marshall
Co. Engineer
s Examiner
Building Technic
PERMIT IS NONTRANSFERABI
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
SEPA
Mobile Home
Other (Specify)
TOTAL $ 38
PERMIT NUMBER
02*3800
*38.00
*3800
E *0,00 U
8562-2
08-14-80
2 6,479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
08--14-STI 456.3`
DATE ISSUED PERMIT NO. TOTAL