1980, 12-15 Permit App: 80B-4862 BarnPLAN NUMBER
r+ -
/a/, 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.
LOT
2.
OWNER
3. GA
ADD ESS
GlNM??o
CONTRACTO
BLOCK
cli4MARotsi PR
LEGAL DESCRIPTION - SEE ATTACHED
SUBDI\
g'e'l•
ISION
7114 /W
PHON
N'CC-)KE"
PARCEL NUMBER/S
0101
4' ADDRESS
6
ZIP
o6
Actual Set BackslIin Feet
North ,W `South
East 110 (West
PHONE
Size of Parcel
IJx J3
Zone Classific ion
M nk,U1
ZIP
Type Const.
Occupancy
Mi
S lered
Oyes ❑No ❑ Req'd.
DESIGNER
5' ADDRESS
PHONE
Valuation �ry
'17-100
Building Area in Sq. Ft.
70C)
ZIP
Main Floor
Upper Floors I Garage Area
Storage
CHANGE OF USE FROM
6.
TYPE
7. OF
WORK
TO
Area of Decks
Finished Basement
Unfin. Basement
IVJ NEW ❑ ALT. ❑ AD'N. ❑ RPL. ❑ MVE.
❑ OTHER
IVBLD. ❑ PLMB. ❑ MECH. ❑ M.H. ❑ POOL
No. Baths
No. Stories
No. Rooms
No. of Dwellings
CERTIFICATE
of EXEMPTION
Req'd.
Rec'd.
Not Re d.
DESCRIBE WORK
8. rOL' 7A
VALUATION
9.
C 1^1/
Enum. Dist. I Location (Area)
SOURCE GAS
OF
UTILITIES
ELECTRIC WATER
SEWER
Ownership Eti
Public ❑ Private
SE CODE
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
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
DATE OF APPLICATION /2— / G
SPECIAL APPROVALS
NAME DATE
ny2 ekIth
Planning
Fire Marshall
Co. Engineer
Utilities
Plans Examiner
SEPA Checklist
ing Tech clan
SIGNATURE OF APPLICAN
SPECIAL CONDITIONS:
M sl 1, —rd vl� rJ
PERMIT IS NONTRANSFERABLE
FEES COLLECTED
Single $
Building`_
Plumbing
Mech.
Plan Check
SEPA
Mobile Home
Oth r (Specify)
TOTAL $
P RMIT NUMBER
02* *'44,00
*'4400 t5
*'4x006
A *0,00
48582-
1.2-1`5-80
z 6479.
02* *'4400
*4400
*44006 -
A *000 8
48592
12-15-80
2 6479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
12;115-18) 486,2' i88,002g
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED
PERMIT NO. TOTAL
/73
/ 'y 0
0 t P1 cI n 10 �-
3' n - p re. 5 •' .�n e_ .
-1 t31.`44_ i
Po id i♦.sct 7rs( Add•
Sc.&ice. ,=..a
4 .5-,7`1
`/
((1j0l�/�
E- • 9,42. et rt 4404.