1980, 08-13 Permit: 80-8539 AdditionNUMB(-,' 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. 5. SS r}y LEGAL DESCRIPTION - SEE ATTACHED
LOT BLOCK SUBDI I ION PARCEL NUMBER/S
� (; 1 SZ omx-y,o /-0W .,U S i Tc.s"
OWNER
PHONE
3• G O �'
28� `�.3-5Zo3
ADDRESS
ZIP
Actual Set Backs in Feet
8030r,
North 4'6)f South East West
CONTRACTOR
PHONE
Size of Parcel
Zone Classification
4. -5 E
/UO )11 /-30
—5 /U /9/'7/e.
ADDRESS
ZIP
Type Const.
Occupancy
Sprinklered
[--]yes ❑No ❑ Req'd.
DESIGNER
PHONE
VaI tion
Building Area in Sq. Ft.
h16 370
/yq '
5.
ADDRESS
ZIP
Mai6 Floor Upper
Floors
Garage Area
Storage
CHANGE OF USE FROM
TO
Area of Decks
Finished Basement
Unfin. Basement
6.
I
TYPE �/ /
IdNEW ❑ ALT. R AD'N. ❑ RPL. ❑ MVE.
No. Baths
No. Stories
No. Rooms
No. of Dwelling!
/
7• OF ❑ OTHER
❑ BLD. ❑ PLMB. ❑ MECH. ❑ M.H. El
CERTIFICATE
Req'd.
Rec'd.
Not Req'd.
WORK
of EXEMPTION
DESCRIBE WORK
Enum. Dist.
Location (Area)
/' /
8 ECJ /�7/o F v�'�C�S !� G�iA�Y�6R'
FEES COLLECTED
{/ VALUATION
SOURCE
GAS
ELECTRIC
WATER
SEWER
Ownership
USE CODE
7Tg
/3'-70ITIES
9. /�
UTILOF
J�,v
Public ❑ Private
Single $
1 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 cons�r46tion e
performance of construction. SEE REVERSE SIDE FOR REQUIRED INSPECTIONS
Plumbing
DATE OF APPLICATION SIGNATURE OF APPLICANT -
Mech.
SPECIAL APPROVALS
SPECIAL CONDITIONS:
NAME DAT
Plan Check
Planning /
Fire Marshall
Co. Enqineer
Utilities
Plans Examiner
chnician� PERMIT IS NONTRANSFERABLE
"`3 PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
SEPA
Mobile Home
Other (Specify)
TOTAL $ Z3 -5Q
PERMIT NUMBER
80 -8539
02* *23.50
*2,50 m
7
8 �.
5 7 -�
08=13-80
6479,
E * v_1
853,8
08=13=80
6,479
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
n -;
'-�0
DATE ISSUED PERMIT NO.
7 LO �
TOTAL
310 7it
,S
mll
i