1980, 09-02 Permit: 80-9426 PipingPLAN NUMBER
APPLICATION/PERMIT4/1
PERMIT NUMBER
Sprinklered
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�r
El ❑No El Req'd.
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
PHONE
a-
Building Area in Sq. Ft.
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
APPLICANT:
COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
ADDRESS
ZIP
Main Floor
Upper Floors I
O 4 * '� 1 2.O C
JOB ADDRESS
LEGAL CESCRIPTION -SEE ATTACHED
* 1 2 0 0
CHANGE OF USE FROM
LOT I BLOCK SUBDIVISION
Area of Decks
PARCEL NUMBER/S
* 1 2 0 0
2.
OWNER
I
PHONE
A 't C 0 0
3.
No. Rooms
No. of Dwellings
942520
ADDRESS
ZIP Actual Set Backs in Feet
��1✓,�:/L.
CERTIFICATE
North South East West
09-02-80
CONTRACTOR
PHONE Size of Parcel Zone Classification
Zee- -SS"ll�'
z 6,479,
4
1111t /
t't 3
ADDRESS7�p
Type Const.
Occupancy
Sprinklered
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El ❑No El Req'd.
DESIGNER
PHONE
Valuation
Building Area in Sq. Ft.
5.
ADDRESS
ZIP
Main Floor
Upper Floors I
Garage Area
I Storage
CHANGE OF USE FROM
TO
Area of Decks
Finished Basement
Unfin. Basement
6.
I
TYPENo.
.(�YNEW 1:1 ALT. ❑ AD'N. ❑ RPL. ❑ MVE.
Baths
No. Stories
No. Rooms
No. of Dwellings
7, OF ❑ OTHER
EJ BLD. ❑ PLMB. MECH. ❑ M.H. ❑POOL
CERTIFICATE
Req'd.
Recd.
Not Req'd.
WORK
of EXEMPTION
DESCRIBE WORK
Enum. Dist. Location (Area)
8 &� ei
FEES COLLECTED
-,/�.� _
VALUATIO
SO RCE
GAS
ELECTRIC
WATER
SEWER
Ownership
USE CODE
9.
OF
UTILITIES
I
Public ❑Private ❑
J
Single $
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
Building
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
DATE OF APPLICATION eti— Z 10 O SIGNATURE OF APPLICANT i /r' s� //r<• ��'�r
Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE Plan Check
Env. Health
SEPA
Planning
Fire Marshall Mobile Home
Co. Engineer Other (Specify)
Plans Examiner
SEPA Checklist
Building Technician PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
TOTAL $ / �G
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
t'9ID2,1-H 42.62
DATE ISSUED PERMIT NO.
A
*12.00ao -
TOTAL