1980, 11-25 Permit 80B-4197 Residence, GaragePLAN NUMBER " APPLICATION/ PERMIT
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- SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3 COPIES
02* *37Q00
JOB ADDRESS
LEGAL DESCRIPTION - SEE ATTACHED
*37Q00
�. U E E7-
*37000'
LOT
I I
PARCEL NUMBER/S
2.
AL'/LiT DD iJ
S--yy/_� 7 �,
A *0.00 0
OWNER
PHONE
3. a) Q_ S SASSOC- N
e3 n -.
4 1 2 8
ADDRESS
ZIP
Actual Set Backs in Feet
�O Q
9/1-"
North 60 South East West IV
1 1-24-80
CONTRACTOR
PHONE
Size of Parcel I Zqne Classiflcatio
# ACAXT
6479.
4. ADDRESS
ZIP
Type Const,
Occupancy
Sprinklered
�J M✓'.
❑yes KNo 0 Req'd.
DESIGNER
PHONE
V luation
Building Area in Sq. Ft.
SA f_
-
5.
ADDRESS
ZIP
Main Floor UPP&
Floors
Garage Area
Storage
CHANGE OF USE FROM
TO
Area of Decks
Finished Basement
Unfin. Basement
6.
'
�1 y
No. Baths
No. Stories
No. Rooms
No. of Dwellings
TYPE .NEW 0 ALT. 0 AD -N. ❑ RPL. 0 MVE.
j
N
7, OF ��yy BLD. OTHER
ElPLMB. ElMECH. 13M.H. ❑ POOL
CERTIFICATE
Req'd.
Recd.
Not Req•tl.
WORK P4
of EXEMPTION
DESCRIBE WORK
Enum. Dist.
Location (Area)
FEESCOLLECTED
B, 1AI61L A /c Z)6Vi417A"6 a)ld C.42 —
VALUATIOOR
SOOFCE GAS
ELECTRIC7W,TER
SEWER
Ownership
USE CODE
9. Bir 7.2-6
UTILITIES
Public ❑Private
Single
37
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 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
Mach.
SPECIA:.APPROVALS
NAME DATE
CONDITIONS:
",(. O.K,
E.�
PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
Plan Check
SEPA
Mobile Home
Other (Specify l. -� )'
TOTAL $
WHEN MACHINE VALIDAI
THIS BECOMES A PERMIT.
DATE ISSUED
A
41971 *3.7a00a- -
PERMIT NO. TOTAL
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