1980, 11-20 Permit: 80B-4011 Pole BldgPLAN NUMBER _ APPLICATION/ PERMIT
PERMIT NUMBER
SPOKANE COUNTY — BUILDING CODES DEPARTMENT��
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
0 *
JOB ADDREs�s`e-,_ f
LEGAL DESCRIPTION — SEE ATTACHED
1
*44.00 N
/' Y
LO
BLOCK
PARCEL NUMBER/S �, / `'� ^ /�.
]SUBDIVISION
y
* 4 4. O 0 U
2.
— a 47
/d .L /
A * Q O Q v
NER
PHONE _
3
3 4 4.5 22
A DRESS
ZIP
Actual Set Backs in Feet,�/J
�,,,r:—
North South 1 East / Wet ^
07-80
N ACT R
PHONE
Size of Parcel
Zone Class ificatio
�
I
�
f 647 .
4.
ADDRESS
ZIP
Type Const. Occupancyprin
lered
d1 c &L" -
jA
Fps
[]Yes�No ❑ Req'd.
—
brnSIGNER
5.
PHONE
aluatidA
J
;t/�
Building Area in Sq. Ft.
r
ADDRESS
ZIP
Main Floor
Upper Floors
Garage Area
Storage
_...._w--"
. --1W
CHANGE OF USE FROM
TO
Area of Decks
Finished Basement
Unfin. Basement
6.
—,_.—
—
No. Baths
No. Stories
No. Rooms
No. Of Dwellings
TYPE ,�,/
L]FNEW ❑ ALT. ❑ AD'N. ❑ RPL. ❑ MVE.
—__-
7, OF / ❑ OTHER
BLD. ❑ PLMB. ❑ MECH. ❑ M. H. ❑ POOL
CERTIFICATE
Req'd.
Recd.
Not Req'd.
WORK
of EXEMPTION
I
DESCRIBE WORKEnum.
8 L _ 3 c� D �a
Dist. Location (Area)
FEES COLLECTED
VALUATION SOURC GAS ELECTRIC WATER SEWER Ownership USE CODE
OF �' pI— Iublic ❑ Private
9. 1UTILITIES
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 construction or the
performance of construction. SEE REVERSE SIDE FOR REQUIRED INSPECTIONS Plumbing
nATF r1F OPPI KATION /( f/ r 0 SIr;NATI IRF OP APPI (CANTLAtf •2ZO-A-Z Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS:
/ NAME DATE Plan Check
E
SEPA a�
Planning 0V
LU
Fire Marshall Mobile Home —j
Ui
Co. Engineer Other (Specify) ZZ//��
Utilities TOTAL
Plans Examiner
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist THIS BECOMES A PERMIT.
_11 a Tjn _� PERMIT IS NONTRANSFERABLE �, 1 —,`� � `.8'0 4 0.115 ,4 40 0 °a 0�