1980, 08-19 Permit 80-8782 Residence, GaragePLAN NUMBER
1. 00e)
APPLICATION/PERMIT
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
1.
2.
3
4.
JOB ADDRESS
LOT
2
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
F , /050 $ ggee 7 1)z
OWNER
LEGAL DESCRIPTION — SEE ATTACHED
BLOCK
3
SUBDIVISION
/s T /�,Gttv�/o�ti
ADDRESS
S• >//7 C'r"l'utia.il
CONTRACTOR
Mine -
ADDRESS
SI'3 2E
DESIGNER
rJ. ADDRESS
PHONE
ZI P
9qZ0
PHONE
ZIP
PHONE
PARCEL NUMBER/S
54/4/1
Actual Set Backs in Feet
North 771 ]South /97 1East A'b' IWest (01
Size of Parcel
/F?/Z . 2.zo A' .3C
ZI P
Type Const.
[•I
V luation
Main Floor
aocy
Zone Classification
46P(CeiC-7449..,V6 50
Sprinklered
❑Yes ❑No ❑ Req'd.
Building Area in Sq. Ft.
2 4'4/
Upper
pp�,yyFloors
/poo
Garage Area
c.,YB
Storage
CHANGE OF USE FROM
6.
TYPE
7. OF
WORK
I'NEW ❑ ALT.
LJ BLD. ❑ PLMB.
TO
❑ AD'N.
❑ MECH.
❑ RPL.
❑ M.H.
❑ MVE.
❑ POOL
❑ OTHER
Area of Decks
360
No. Baths
Finished Basement
i4(00
No. Stories
No. Rooms
Unfin. Basement
No. of Dwellings
r✓
CERTIFICATE
of EXEMPTION
DESCRIBE WORK Enum. Dist. ILocation (Area)
8. S/rr Gc. ,/wnie y /2E5-406-3r 0)9,ee /4Xfare6 o I
/
VAC/LUATION SOURCEOF GAS ELECTRIC WATER Ownership USE CODE
9. /C) /8 o0 UTILITIES Public (] Private Vri
Z
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 orrthe
performance of construction. SEE REVERSE SIDE FOR REQUIRED INSPECTIONS
DATE OF APPLICATION
SEWER
SpTic
SIGNATURE OF APPL
Req'd.
Rec'd.
Not Req'd.
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE
Env y,
Planning
Yr(d
Fire Marshall
Co.E •i
ut
r h qiqs-0�
Plans Examiner 7/44
SEPA Crick ist
FEES COLLECTED
Single
Building
Plumbing
Mech.
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL
$
02*
*44500
*44500 N
*4,45.006
*000
878:1 g
08-19-80
g 6,479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
Bui _iJn %echnicia
PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
08-r19L=8.0
DATE ISSUED
PERMIT NO.
878.25r *44'S,00°H
TOTAL