1980, 04-14 Permit: 80-3462 PoolPLAN NUMBER
JOB ADDRESS
7 w,
LOT BLOCI,
2. /d �D
OWNER
3
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
3 T LEGAL DESCRIPTION - SEE ATTACHED
SUBDIVISION PARCEL NUMBER/S 1-7,5#4-1,040
`7J,cetirr I -d r /Z,� B.Z� /o
PHONE
i ' —24 yes A,11,6oAirA1A1 4rH ADD
ADDRESS if 7
ZIP
Actual Set Backs in Feet
'
c3
r
;y (v
North / South j' j
East West
CONTRACTOR
PHONE
Size of Parcelr
Zone Classification
4' ADDR SS
ZIP
Type Const.
Occul5ancy
Sprinklered
^-
17
❑Yes []No ❑ Req'd.
ESIGNER
PHONE
Valuation
Building Area in $q. Ft.
5. ADDRESS
ZIP
Main Floor
Upper Floors
Garage Area
storage
CHANGE OF USE FROM
TO
Area of DecksFirlished
Basement Un in. Basement
6.
3j IL
e
j
No. Baths No. StoriesN
. Rooms
No. of Dwellir
TYPE ❑ NEW ❑ ALT. ❑ AD'N. ❑ RPL. ❑ MVE.
7. OF ❑OTHER
El BLD. ❑ PLMB. ❑ MECH. ❑ M.H. POOL
CERTIFICATE
Req'd.
Recd.
Not Req
WORK
of EXEMPTION
D SCRIBE WORK
Enum. Dist. I Location (Area)
FEES COLLECTED
VALUATION SOURCE
GAS
ELECTRIC
WATER
SEWER
Ownership
USE CODE
�d UTILITIES
I
I
Public ElPrivate
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
to give authority to violate or cancel the provisions of any other state or local law r ulating construction or the
Building
pDO�
performance of construction. SEE REVE,�RSE SIDE FOR REQUIRED INSPECTIONS
Plumbing
j
INIATI IRr1F APPI IANIT ���AI�
NI —,14 D — 1P CrF r`
—� . n� Aooi In ATIn� ��d
Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE
r
gineer
Utilities
Plans Examiner
PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
Plan Check
SEPA
Mobile Home
Other (Specify)
-
6
TOTAL $ o
PERMIT NUMBER
- 3 (01�1
02* *25,00
*25,00
*25,00
E *0.00
34612
e4-1 4-80
6479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
546,2 0
DATE ISSUED PERMIT NO.
*25.0.0°-J -
TOTAL
R VGSA. 1 d n m;1-
Loo- , 0 131eck 10 MT VIehJ 4714 Ed• �v4 d by t 18, 1C)C F ,
► P�,�. , - O\%v JGI0.r1t.�
,Avtss 1.- -1-1-s L 3\��21U
ply p 1-5c&--
t
s / . .l
X/4 . 2.5'
\ .
5
— et-- 1Z
Ld API'
- - 144,►_ iwt
*� - -
J 1t
— - 16
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