1980, 10-24 Permit: 80B-2613 ResidencePLAN NUMBER APPLICATION/ PERMIT
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
JOB A,DDR
ISI
CONT CTOR
4. ADDRESS
DESIGNER
5' ADDRESS
APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3 COPIES
7" LEGAL DESCRIPTION - SEE ATTACHED
SUBITIVISION PARCEL NUMBER/S /J /f
O PHONE �! L
ZIP Actual Set Backs in Feet
} North) South J East West
HONE Size of Pel Zx-iee
e Classification
43 Fr9"rte
r" ZIP Type Const. I Occupancy Sprinklered
❑Yes E)iqo ❑ Req'd.
CHANGE OF USE FROM TO
6.
PHONE Va tion eu"Iding Area i Ft.
ZIP Main Floor Upper Floors Garage Area Storage
v z ox
Area of Decks FinisFPed Basement Unfin. Baseme
/
TYPENo.
El ❑ ❑ ❑
B the
No. Sxorjes
No. R oms
Nof Dwellings
I
IEW ALT. AD'N. RPL. MVE.
7, OF 1:1 OTHER
WORK BLD. ❑ PLMB. ❑ MECH. ❑ M.H. El
///
CERTIFICATE
Req'd.
Recd.
NotReq'd.
,V/
of EXEMPTION
D�RIBE WORK
Enum. Dist. Location (Area)
FEES COLLECTED
$• / v L L i G- q4-5 E t7 7 EGA
1 VALUATION I SOURCE GAS ELECTRIC WATER SEWER Ownership UInh
9. 7� UTILOITIES <., Public ❑ Private
I
Single $
1 hereby certify that I have read and examined this application and have read the "NOTICE" provisions
on reverse side, and know the same to be true and correct. All provisions of laws and ordinances goveBuilding
Inc --
23E`�
type of work will be complied with whether specified herein or not. The granting of a permit does no
to give authority to violate or cancel the provisions of any other state or local law regulating constructi
performance of construction. SEE REVERSE SIDE FOR REQUIRED INSPECTIONS
Plumbing
DATE OF APPLICATION —'lG� SIGNATURE OF APPLICANT
Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE
Env. eal��- I (�/��t, �Yy1��'1�
f i
Plan Check
/LY
SEPA
Planninq
r
Utilities
Plans Examiner
i/!
st
nician l PERMIT IS NONTRANSFERABLE
r �U PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
1
Mobile Home
Other (Specify)
1'ERMIT NUMBER
d45- AL3
A
TOTAL $ s�_�
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
24``-80 261.3 *238.0Q0
DATE ISSUED PERMIT NO. TOTAL
7 -9
ULZ)
ti
L'OY o 1