1980, 06-17 Permit 80-5911 Residence, Garage, DeckPLAN NUMBE�i t
APPLICATION/ PERMIT
PERRjMIT•NUMbER SII
�
SPOKANE COUNTY —BUILDING CODES DEPARTMENT
1
NORTH Bit JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
APPLICANT:
COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3,COPIES
JOB
02* *26Q00
LEGAL DESCRIPTION — SEE ATTACHED
Lei 2,6�4
*26Q00 In
LOT BLOC
PARCEL NUMBER/S,32 �`� D1A5
2.
i
coT S OcK/
*2611006
O ER
PHONE
E *000 S
3.
-/ Q-.2& sA AOR,65
ADDRESS
0 ZIP Actual Set Backs In Feet / / /
/
5 72.2 2
q 7Z
.Z�� North South East G West .
6._ , ,�.._ 8 Q
CONTRACTO ..
PHONE Size of Parcel Zone Classification
O
4.
-8:L7�
6479.
ADDRESS
ZIP Type Const. occupancy Sprinklered
2A []Yes []No ❑ Req'd.
I
DESIGNER
PHONE I.Ypluation Building Area V11. Ft.
0
5.
ADDRESS
ZIP Malo Fl oriU r Flors Garage Ara Storage
i 1
—
616
CHANGE OF USE FROM
TO Area of D,cks Finished Basement Unfin. Basrent
s.
i z `�v
r��f
TYPE O NEW ElALT.
No. Baths No. Stories Na. Rooms No. of Dwellings
1.1AD'N. 11RPL. 11MVE.
7
11 BLD. ElPLMB.
11MECH. 11M.H. 11 POOL OTHER CERTIFICATE Req'd. Recd. Notyeq'd.
WORK
____.-.__.._.... _.._.... _._.. ____.._.. ,. .. __, FEES COLLECTED
ALUATICtJj SOOFCE GAS ELECTRIC I WATER SEWER lOwnership USE CODE
& TILITIES public OPrivate Single $
1 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 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 INSPECTIONS Plumbing
DATE OF APPLICATION ��'SIGNATURE OF APPLICANT ech.
SPECIAL APPROVALS SPECIAL CONDITIONS: /1 J �O t Plan Check
NAME DATE
/
a�Di rf� fKa �p -'.'LI��6 SEPA
Mobile Home
Other (Specify)
z "APPROACCH PERMIT REQUIRED"
Cant,^ct COurty e;;mers Office TOTAL $-2/.PZ
I I THIS BECOMES A PERMIT.
PERMIT IS NONTRANSFERABLE '.71-i8� l
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED
5'9116Z *26a00a'0 -
PERMIT NO. TOTAL
77- re
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