1980, 12-09 Permit P80B-4628 Soft WtrDLAN NUMBER
JOB ADDRESS
1. r�
LOT BLOC
2.
3
OWNER
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
LEGAL DESCRIPTION — SEE ATTACHED
PHONE
ADDRESS ` f
ZIP
Actual Set Backs in Feet
—
-21
North South
East West
C NT CTOR _
PHONE
Size of Parcel
Zone Classification
4' AD ESS
ZIP
Type Const.
Occupancy
Sprinklered
Cr -3
(DESIGNER
t Z`J..
I
Dyes El No El Req'd.
PHONE
Valuation
Building Area in Sq. Ft.
5. ADDRESS
ZIP
Main Floor Upper
Floors
Garage Area
I Storage
CHANGE OF USE FROM
TO
Area of Decks
Finished Basement
Unfin. Basement
6.
No. Baths
No. Stories
No. Rooms
No. of Dwellings
TYPE ❑ NEW ❑ ALT. ❑ AD'N. ❑ RPL. ❑ MVE.
7, OF ❑ OTHER
❑ BLD. PLMB. ❑ MECH. ❑ M.H. ❑ POOL
CERTIFICATE
Req'd.
I Rec'd.
Not Req'd.
WORK
of EXEMPTION
D SCRIBE WORK
Enum. Dist.
Location (Area)
FEES COLLECTED
8.
VAL,OATION
SOURCEGAS
ELECTRIC
WATER
SEWER
Ownership
USE CODE
9,
1UTILITIOES
Public ❑Private ❑
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
I
to give authority to violate or cancel the provisions of any other state or local law regulating construction or the
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3
performance of construction. SEE REVERSE SIDE FOR REQUIRED INSPECTIONS
Plumbing
-- n� Aooi IrA-nnni iJ) — 0 — SI(;NIATI IRF OP APPI (CANT
Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE Plan Check
Env. Health
SEPA
Planning
Mobile Home
Fire Marshall
Co. Engineer Other (Specify)
Utilities
Plans Examiner
PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
rt F(IVII I IV VIVIOGrt
03* *3,00
*3.00
*300'0
A *0.00
46272
12-09-80
g 6479,
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TOTAL $ U f�
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
12 O'
DATE ISSUEDT �� O PERMIT N�.� z