1980, 07-09 Permit: 80-6869 Residence,PLAN NUM
�.
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
1.
JOB ADDRESS
e, /o 71
31�T �
LEGAL DESCRIPTION -SEE ATTACHED
LOT
BLOCK
PARCEL NUMBER/S
2.
!v
I .5 3
ISUBDIVISION
jro,<O /32e
OWNER
PHONE
3.
"Vdff 5C of
-illift ?o!rs'
ADDRESS
ZIP
Actual Set Backs in Feet
,;pG• OCA
9c1Z1l
North South &41' East 17+ West iGi
CONTRACTOR
PHONE
Size of Parcel
Zone Classification
r
-511('130
2!" $:,tro2 .AA,
4"
ADDRESS
ZIP
Type Const.
Occupancy
Sprinklered
,55,~
I
❑Yes ❑No ❑ Req'd.
DESIGNER
PHONE
Val lon
Building Area in Sq. Ft.
coo
6
5.
ADDRESS
ZIP
Main
Upper Floors
Garage Area
Storage
,�Floor
CXO"7
-
CHANGE OF USE
FROM
TO
Area of Decks
Finished Basement
Unfin. Basement
TYPE
NEW
❑ ALT. ❑ AD'N. ❑ RPL.
❑ MVE.-Z
No. Baths
No. Stories
Z
No. Rooms
—7
No, of Dwellings
7,
OF
El OTHER
CERTIFICATE
eq'd.
Rec'tl.
Not F,Ieq'd.
WORK u1 BLD.
❑ PLMB. ❑ MECH. ❑ M. H.
❑ POOL
I
I
of EXEMPTION
DESCRIBE WORK Enum. Dist. Location (Area) FEES COLLECTED
8..5 ' tr Revz =NC.e-
/VALUATION SOURCE GAS ELECTRIC WATER SEWER
..���/ii OF Ownership USE CODE
9.+/3`fdC�� OF
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 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. SEEREVERSESIDE FOR REQUIRED INSPECTIONS �j►��\J /�/,,,�� Plumbing
DATE OF APPLICATIOP, �3 V SIGNATl1RF OF APpi (CANT. C>` �L�L�I� Mech.
PERMIT NUMBF
% - -�;&
02* *21000
*21 0.00 �
*21 000
*0.00
631,5.2
0 6 2 5'-'P 0
6479,
SPECIAL APPROVALS SPECIAL CONDITIONS:
Plan Check
iealth NAME DATE _ NEG -0 P440i1 "tJ� f lni2c'✓i4C cIN 604- OfE-C:.GR,O
R&75/,C1�l bE CaUN$Y2uc7c�,p //V SEPA
/9Cf.C�2/Jri/✓C� (��T/� S i Tf_ C�4iv P C Ef�/S�
OW 7C/J _ {
6/Z 7A Mobile Home
I rshall -
L
Plans Examiner
AA ✓).-.,-ri CA.ld t'7�/7
Anvvw,o 4-7r/! ov 0
Other (Specify)
TOTAL $ "ZDV.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
Buil in echnician PERMIT IS NONTRANSFERABLE U � Q % 8 Q
5— cfzs%� 68692 210.Q"°�
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL