1980, 08-26 Permit 80-9106 Siding, FasciaPLAN NUMBER
APPLICATION/PERMIT
SPOKANE COUNTY -- BUFL.DING CODES DEPARTMENT
PERMIT NUMBER
7
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
1.
2.
JOB ADDRESS
LOT/'BLOCK SUBDIVISIO/(
OW ER `
3
der, of) , Gt1 ' E (Ed)
ADDR SS
/ 305 L. (.n(,)ley) Greenacres
CONTRACTOR
Mc Ucc y Brvfhers C'onfra dors
4. ADDRESS
Al, 3/06 Ai yonn# Road , .zkan_e�
DESIGNER
5' ADDRESS
PHONE
ga&-79i0
PHONE
ZIP
99dot
PHONE
LEGAL DESCRIPTION — SEE ATTACHED
PARCEL NUMBER/S
Actual Set Backs in Feet
North (South
Size of Parcel
Type Const.
Valuation
Occupancy
I8544 l 1o9
East
(West
Zone Classification
Sprinklered
❑Yes ❑No 0 Req'd.
Building Area In Sq. Ft.
ZIP
Main Floor
Upper Floors 1 Garage Area
Storage
CHANGE OF USE FROM
6.
TO
Area of Decks
Finished Basement
Unfin. Basement
TYPE
7. OF
WORK
❑ NEW ❑ ALT. ❑ AD'N. 0
❑ BLO. 0 PLMB. 0 MECH. 0
RPL. ❑ MVE.
M.H. 0 POOL
OTI-I,ER
No. Baths
No. Stories
No. Rooms
No. of Dwellings
CERTIFICATE
of EXEMPTION
Req'd.
Rec'd.
Not Req'd.
DESCRIBE WORK
8. /'��fll (� Skid �f rtr� �oFht
VALUATION
9. ¥
% g�9, oa
SOURCE
OF
UTILITIES
GAS
4F-a5C a -
ELECTRIC
WATER
SEWER
Enum. Dist.
Location (Area)
Ownership
Public ❑ Private El
USE 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 go
SIDE FOR REQUIRED INSPECTIONS
DATE OF APPLICATION tgrA o SIGNATURE OF APPLICANT
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE
Env. Health
Planning
Fire Marshall
Co. Engineer
Utilities
Plans Examiner
SEPA Checklist
PERMIT IS NONTRANSFERABI
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
FEES COLLECTED
Single
Building
Plumbing
Mech.
Plan Check
SEPA
Mobile Home
Other (Specify)
+''1
TOTAL $ 60
i
02* *44.00
* 44,00 a
* 44.006
E *0.00
910.42
08-26-'80
2 6479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
b%H'2648l0
DATE ISSUED
91'0,.66 '?4.4000°.�
PERMIT NO. TOTAL.
)
0.61;2#