1980, 06-30 Permit App 80-6486 Siding, Soffitr7=
APPLICATION/ PERMIT «`
SPOKANE COUNTY - BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
i
APPLICANT: COMPLETE NUMBERED SPACES — PRESS
HARD TO MAKE 3 COPIES
k
JOB ADDRESS
LEGAL DESCRIPTION — SEE ATTACHED
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1.�ttJ� 2 iA C J 4C
LOT BLOCK SUBDIVISION
PARCEL NUMBER/S
2 5 Q 5 O
1*50,50
2.
r
IC /
E * 5 �, 5 Q U
OWN R
PHONE
7P 'sc)
3. ta
in Feet
ADDRESS
ZIP
Actual Set Backs
E t * 0' 0 0 CO3CO
CA� � ,�
RA TOR
PHONE
North South East West
Size of Parcel Zone Classification
648.5
N
4.
ZIP
Type Const. Occupancy Sprinklered
06 -30-80
A RESS
c�
9,91fl
❑Yes ❑No El Req'd.
Q Y fI E° G
PHONE
Valuation Building Area in Sq. Ft.
6479,
DESIGNER
5.
ZIP
Main Floor
Upper Floors
Garage Area
Storage
ADDRESS
Area of Decks Finished Basement Unfin. Basement
CHANGE OF USE FROM TO
6.
No. Baths No. Stories No. Rooms No. of Dwellings
TYPE NEW ❑ALT. ❑ AD'N. ❑ RPL. ❑ MVE.
CERTIFICATE
Req'd.
Recd.
Not Req'd.
7, OF — - ER
1:1 BLD. ElPLMB. ❑ MECH. ElM.H. ❑POOL P�Wp/TjH
WORK fi��
of EXEMPTION
Enum. Dist. Location (Area)
DESCRI��B//E WORK FEES COLLECTED
�Gt�c��
8./CJ.ahG Sd�i
VALUATION tjSdURCE GAS ELECTRIC WATER SEWER Ownership USE CODE
UTILOITIES Public ❑Private ❑ Single $
`4 1L I
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 authority to violate or cancel the provisions of any other state or local law regulating construction or the Plumbing
give
performance of construction. SEE REVERSE SIDE FOR REQUIRED INSPECTIONS
OF oe
50--- OF APPLICANT-2Mech.
DATE OF APPLICATION L� SIGNATURE
SPECIAL APPROVALS SPECIAL CONDITIONS: Plan Check
NAME DATE
Env. Health SEPA
Planning
Fire Marshall
Co. Engineer
Utilities
Plans Examiner
SEPA Checklist
g Technic PERMIT IS NONTRANSFERAB�
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
Mobile Home
Other (Specify)
TOTA L $"
IWHEN MACHINE VALIDATED IN THIS SPACE, _
THIS BECOMES A PERMIT.
06,-30-8064,&625 -105:.50;(1[-
DATE ISSUED PERMIT NO. TOTAL