1980, 04-24 Permit: 80-3918 ResidencePLAN NUM FR
APPLICATION/PERMIT
PERMIT NUMBER
SPOKANE COUNTY — SUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
•Z 2 r+ �, *
0 2 8 9, 0 0
* 2 8 1? 0 0 U
APPLICANT: COMPLETE NUMBERED SPACES - PRESS
HARD TO MAKE 3 COPIES
JOB ADDRESS
f1 ADDRESS
LEGAL DESCRIPTION - SEE ATTACHED
LOT
BLOCK
SUBDIV SIO
PARCEL NUMBER/S / rIV-,3 ,: / —
2.
/—o 7-/# Q�K.
*289.00
WNER
PHONE
3.
- 174/
-57- A PQ
E *0.00
91.7 1'7
DRE S
ZIP
Actual Set Backs in Feet
North ?
lEast Lest
J
04-24-80
6479,
CONTRACTOR
a.
PHONE
Size of,Parcel
x /,:5-0L
Zone Classification
Z
A DRESS ►
ZIP
Type Const.
Occupan yR
prinklered
—3-4114U -
L
❑Yes ❑No ❑ Req'd.
DESIGNER
PHONE
uation
Building Area in Sq. Ft.
5.
J�
v
/ 74
_
ADDRESS
ZIP
Main loorUpper
Floors
Garage Area
Storage
/,Ug, 7 `
8d
CHANGE OF USE FROM
TO
Area of Decks
Finished Basement
Unfin. Basefnent
TYPENEW El ALT. 1:1 AD'N. ❑ RPL. El MVE.
No. Baths
No/. Stories
I No. Rooms
4
No. of Dwellings
7, OF
WORK ❑ BLD. ❑ PLMB.
1-11ZOTHER
❑ MECH. ❑ M.H. ❑ POOL
CERTIFICATE
Req'd.
Recd.
Not eq'd.
of EXEMPTION
I
DESCRIBE WORK
Enum. Dist. Location (Area)
8.
FEES COLLECTED
VALUATIONOURCE GAS ELECTRIC WATER SEWER Ownership USE CODE
OF
dv®TILITIES
Public ❑ Private]
Single $
1 hereby certify that 1 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 INSP Plumbing
DATE OF APPLICATION 7 —.2I —A/6
SIGNATURE OF APPLICANT X e Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS: I
NAME DATE Q • RIW d �,G'Q J 0 < I X / Plan Check
"\ Com`
Env. lea h
�2
Planning
SEPA
0-
Fire Marshall
Mobile Home
a
u..
Co. Engineer
Other (Specify)
Utilities
teAPPRNIN PERMIT REQUIREW TOTAL $
Plans Examiner
7*t% 7
Caniact Cupty Engineer's Office
SEPA Checklist
WHEN MACHINE VALIDATED
THIS BECOMES A PERMIT.
IN THIS SPACE,
e din Te nicia
PERMIT IS NONTRANSFERABLE
`
391.8o *289,00o) J -
'
'4-24=80
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED
PERMIT NO. TOTAL
�1 1711�)It
2—(';11' ;1t.t:.
2!-)l
1%+ —► �1 2,Zriirr
concrete
d r i v e—way
curb line
Zith Avenue
Plot Plan Parcel no. Ptn. of
Scale 1.11-201 Legal: Lot lt, Block 3, Mid itome First Adr!n.
13 & C Construction 7alue: y70,000.00
P.O. Box 13.323 Fast 1140S 37th Ave.
Spokane, l•lashington 9921.1 Spokane,
Washington 99200
I'hone 922-2761 1.31.4 square foot, four le%,el frame dwel
921—)-141 with three bedrooms, two baths 'Ind ;r two, cm.
attached garage �