1980, 08-11 Permit: 80-8334 ResidenceN NUMBER
Ll
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 ;7,tk 46a,1V 1132.2—LEGAL DESCRIPTION - SEE ATTACHED
LOT I BLUCK IbUBDIYISION/ PARCEL NUMBER/SD/{�%-�'3�'ic'��.�Q%
OWNER PHONE i
3. ` tel' -6% i
ADDRESS ZIP Actual Set Backs in Feet 1
�... �" i �� North --�A f Sout -; East ' % West
CONTRACTOR PHONE Size of Parcel Zone Classification
e -L
4' AbDRESS ZIP Type Const. I Occupancy prinklered
❑Yes [-]No ❑ Req'd.
DESIGNER PHONE Valuation �U Building Area in Sq. Ft.
5.
ADDRESS ZIP Mairf Flood Upper Floors I Garage Area itorage
CHANGE OF USE FROM TO Area of Decks Finished Basement Unfin, Basement
6.
No. Baths No. Stories No. Rooms No. of Dwelling!
TYPE ,NEW ❑ ALT. ❑ AD'N. ❑ RPL. ❑ MVE, '" ,
], OF ❑OTHER
WORK E*BLD. ❑ PLMB. ❑ MECH. ❑ M. H. ❑ POOL CERTIFICATE Req'd. Rec'd. Not Req'd.
of EXEMPTION ',
SCRIBE WORK Enum. Dist. Location (Area)
8.
,: �„ �.✓` A FEES COLLECTED
V LUATION SOURCE GAS ELECTRIC WATER SEWER Ownership USE CODE
OF Public ❑ Private
9. UTILITIES Single $
I hereby certify that I have read and examined this application and have read the "NOTICE" provisions included F
on reverse side, and know the same to be true and correct. All provisions of laws and ordinances governing this
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 INSPECTIONS w Plumbing
DATE OF APPLICATION 7 a / d SIGNATURE OF APPLICANT -V1,1, � JvI414' ech.
SPECIAL APPROVALS
NAME DATE
Env. Health
Planning
Fire Marshall
Co. Engineer
Utilities
Plans Examiner
SEPA Checklist
CIAL CONDITIONS:
PERMIT IS NONTRANSFERABLE
-7A(- PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
Plan Check
SEPA
Mobile Home
Other (Specify)
PERMIT NU^"IBER
02* *31600
*3:1.600
*3.1600
E *000 COD
81 4.7-
08-051=80
2 6479
TOTAL $
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
08 "l'�;810 833,46 *316,0`0°l -
DATE ISSUED PERMIT NO. TOTAL