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HomeMy WebLinkAbout1980, 06-12 Permit: 80-5675 ResidencePLAN NUMBER. i [/Gn JOB ADDRESS 1 LOT BL 2. 1 911 OWNER k 3 ADDRESv�S`/ C 4. ADDRESS, DESIGNER 5. ADDRESS R APPLICATION/ PERMIT SPOKANE COUNTY - 9UILQING CODES DEPARTMENT NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675 APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES 15 t r LEGAL DESCRIPTION — SEE ATTACHED SUBDIVISION PARCEL NUMBER/S 3'35 _ y + PHONE f [' 1'l (� 4\ ",ec•%n 11�" 1 t f�� t Mn ZIP Actual Set Backs in Feet North South PHONE Size of Parcel ZIPJ Type Const. Occu p�7N8 © V atio Z C/ Main Ffdor Ll Upper I7 Zone pancy Sprinklered ❑Yes [-]No ❑ Req'd. Building Area in Sq. F� Floors Garage Area ► Storage / �i CHANGE OF USE FROM TO /Area or uecKs 1 rinlshed Bm nt I Unfln. Basem(�t 6. Y TYPENo. Baths No. Stories No Rooms No. of Dwelling NEW ❑ALT. ❑ AD'N. ❑ RPL. ❑ MVE. 7, OF ❑ OTHER 3 WORK 7% BLD. ElPLMB. ElMECH. ❑ M.H. POOL CERTIFICATE Req'd. Recd. Not Req'd of EXEMPTION DES BE WORK Enum. Dist. Location (Area) FEES COLLECTED 8. A LUATrlON SOU E GAS ELEC RIC ATER WER Ownership USE CODE TILOtTIES Public ❑ Private ❑ Single $ I 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 nstruction or the performance of construction. SEE REVERSE SIDE FOR REQUIRED INSPECTIO Plumbing r)ATF r1L APPI Ir ATIONI t� ,� l(/lJ glrr\IATI IRF (1F APPI ICANT 6&Mech. SPECIAL APPROVALS NAME DATE Env. alth Planning Fire Marshall Co. Engineer Utilities Plans Examiner Tlorn 106 S'f+ i SEPA Checklist - BuiRting Tekhniqlan ,. SPECIAL CONDITIONS: L?ct on Com. PERMIT IS NONTRANSFERABLE PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE Plan Check SEPA Mobile Home Other (Specify) TOTAL $ PERMIT NUM•3ER WHEN MACHINE VALIDATED IN THIS SPACE, THIS BECOMES A PERMIT. OSI, 1.2 0 5`6'7.52 *307.00° DATE ISSUED PERMIT NO. TOTAL CHANGE OF USE FROM TO /Area or uecKs 1 rinlshed Bm nt I Unfln. Basem(�t 6. Y TYPENo. Baths No. Stories No Rooms No. of Dwelling NEW ❑ALT. ❑ AD'N. ❑ RPL. ❑ MVE. 7, OF ❑ OTHER 3 WORK 7% BLD. ElPLMB. ElMECH. ❑ M.H. POOL CERTIFICATE Req'd. Recd. Not Req'd of EXEMPTION DES BE WORK Enum. Dist. Location (Area) FEES COLLECTED 8. A LUATrlON SOU E GAS ELEC RIC ATER WER Ownership USE CODE TILOtTIES Public ❑ Private ❑ Single $ I 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 nstruction or the performance of construction. SEE REVERSE SIDE FOR REQUIRED INSPECTIO Plumbing r)ATF r1L APPI Ir ATIONI t� ,� l(/lJ glrr\IATI IRF (1F APPI ICANT 6&Mech. SPECIAL APPROVALS NAME DATE Env. alth Planning Fire Marshall Co. Engineer Utilities Plans Examiner Tlorn 106 S'f+ i SEPA Checklist - BuiRting Tekhniqlan ,. SPECIAL CONDITIONS: L?ct on Com. PERMIT IS NONTRANSFERABLE PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE Plan Check SEPA Mobile Home Other (Specify) TOTAL $ PERMIT NUM•3ER WHEN MACHINE VALIDATED IN THIS SPACE, THIS BECOMES A PERMIT. OSI, 1.2 0 5`6'7.52 *307.00° DATE ISSUED PERMIT NO. TOTAL 8. A LUATrlON SOU E GAS ELEC RIC ATER WER Ownership USE CODE TILOtTIES Public ❑ Private ❑ Single $ I 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 nstruction or the performance of construction. SEE REVERSE SIDE FOR REQUIRED INSPECTIO Plumbing r)ATF r1L APPI Ir ATIONI t� ,� l(/lJ glrr\IATI IRF (1F APPI ICANT 6&Mech. SPECIAL APPROVALS NAME DATE Env. alth Planning Fire Marshall Co. Engineer Utilities Plans Examiner Tlorn 106 S'f+ i SEPA Checklist - BuiRting Tekhniqlan ,. SPECIAL CONDITIONS: L?ct on Com. PERMIT IS NONTRANSFERABLE PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE Plan Check SEPA Mobile Home Other (Specify) TOTAL $ PERMIT NUM•3ER WHEN MACHINE VALIDATED IN THIS SPACE, THIS BECOMES A PERMIT. OSI, 1.2 0 5`6'7.52 *307.00° DATE ISSUED PERMIT NO. TOTAL SPECIAL CONDITIONS: L?ct on Com. PERMIT IS NONTRANSFERABLE PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE Plan Check SEPA Mobile Home Other (Specify) TOTAL $ PERMIT NUM•3ER WHEN MACHINE VALIDATED IN THIS SPACE, THIS BECOMES A PERMIT. OSI, 1.2 0 5`6'7.52 *307.00° DATE ISSUED PERMIT NO. TOTAL 1 6' 24 f 3'1 Tot ,,oar lz dt04:3 sc-OF-R s N