1980, 07-29 Permit: 80-7820 AdditionPLAN NUMBER 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.
LEGAL DESCRIPTION — SEE ATTACHED
�' 1s % �) , ,
2.
LOT I BLOCK ISUBDIVISION i` aARCELNUMBER/S
WNER . PHONE T
3.E
ADDRESS ZIP Actual Set Backs in FAet
North SoU45 a West
CONTRACTOR PHONE Size of Parcel F-41Yes
ne Classification
4. AD. RESS ZIP Type Const. OccupancySprinklered '
❑No ❑ Req'd.
DESIGNER PHONE Valuation Building Area in Sq. Ft.
5./0"76-- ADDRESS ZIP Main Floor I Upper Floors Garage Area Storage
CHANGE OF USE FROM TO Area of Decks Finished Basement Unf in. Basement
6. --' a4)
No. Baths No. Stories No. Rooms No. of Dwellings
TYPE ❑ NEW ❑ ALT. ❑ AD'N. ❑ RPL. ❑ MVE.
7, OF 0 OTHER
WORK ❑ BLD. ❑ PLMB. ❑ MECH. ❑ H. ❑ POOL CERTIFICATE Req'd. Recd. Not Req'd.
of EXEMPTION I I 'N
DESCRIBE WORK Enum. Dist. Location (Area)
8 � L1 �• FEES COLLECTED
VALUATION SOURCt= AS ELECTRIC WATER EWER Ownership USE CODE
9. UT1OITIES Public El 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 Z-3,'
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 INSPECTION Plumbing
DATE OF APPLICATIONSIGNATURE OF APPLICANT 1- Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE
Env. Health (r f J_ , , ./-'p J
Fire Marshall
Co. Enqineer
ans Examiner
BuJIJj4ingg Techn ian ? PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL $�
PERMIT NUMBER
gd — 794-40
02* *35.50
*35,50
781.92
07-29-80
1479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT. 7
/ 81, 0 23
DATE ISSUED PERMIT NO.
*35,50°
TOTAL