1980, 01-14 Permit 80-0135 AdditionPLAN NUMBER
APPLICATION/PERMIT
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 4 COPIES
1.
2.
3.
JOB ADDRESS
LOT
• / I'OOO J PdPI"Nl*
BLOCK
SUBDIVISION
OWNER
M 16
I3k -L_ 1AN/ IPA/ i3EP. C4
ADDRESS
EOoOU INyPI\IA GAFfrN J1-Ces
CONTRACTOR
PHONE
ZIP
q�v/6
PHONE
LEGAL DESCRIPTION - SEE ATTACHED
PARCEL NUMBER/S 0^75',5'L,�, - I2.4/
OF Ea' Bp BUcY-
GRAN A6l2R . D iS A.
Required Set Backs in Feet
North 'South
Size of Parcel
East (West
Zone Classification
4' ADDRESS
DESIGNER
5' ADDRESS
ZIP
PHONE
ZIP
Type Const. Occupancy
U —/N 12.. -3
Valuation
$.3a7z•
Sprinklered
❑Yes ❑No ❑ Req'd.
Building Area in Sq. Ft.
/92,
DWL Area 1 Basement Area 1 Garage Area
192
Storage
CHANGE OF USE FROM
6.
TYPE
7, OF
WORK
❑ NEW ❑ ALT.
LJ BLD. ❑ PLMB.
TO
0 AD'N.
❑ MECH:
❑ RPL.
❑ M.H.
❑ MVE.
❑ POOL
❑ OTHER
Split Entry
No. Baths
Split Level
No. Floors
L
CERTIFICATE
of EXEMPTION
No. Rooms
Req'd.
Rancher
Rec. Room
Rec'd.
Not Req'd.
L
DESCRIBE WORK POfZC il 1'-
8. /\vp taN D� A 141ANpE, IST7/u:7 , I0ON cp_
VAL ATION Source GAS ELECTRIC WATER SEWER
of
Utilities
9. 43v'7a
I hereby certify that I have read and
on reverse side, and know the same
type of work will be complied with
to give authority to violate or cancel
performance of construction.
DATE � U 1 1 1 7
FA. rxisT
�klS i �N�j
examined this application and have read the "NOTICE" provisions included
to be true and correct. All provisions of laws and ordinances governing this
whether specified herein or not. The granting of a permit does not presume
the provisions of any other state or local law regulating construon or the
SIGNATURE
SPECIAL APPROVALS
DEPT. REQ'D.
RECD.
Env. Health
Planning
Fire Marshall
Co. Engineer
Utilities
Zone Clearance
SEPA Checklist
SPECIAL CONDITIONS: /
tile/SAL3vo6p cJ/ -r' „,
ki" I'VVt/
i ew1411-k.-1r1-I l' kW V00)
DATE Pi -A. 1' .i 7/OFFICIAL r , ' Pi1e \
FEES COLLECTED
Single
Building
Plumbing
Mech.
Plan Check
SEPA
Mobile Home
00
Other (Specify
TOTAL $"1
Cr'OL%
PERMIT N!JMBER
DATE ff—
C2* *3ao0
*3a00 'Co-
* 3 a 0 0
E *0,00
1342
01-14-80
2 6479.
1
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
0 11 Lir4.— 6. 0 13: 5 z
*38.00°H
APPROVF[) FOR ISSUANCE