1980, 11-24 Permit 80B-4105 FourplexPLAN NUMBER ,
f30& - /853
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
JOB ADDRESS
�. /Zg2Z_
LOT
BLOCK
SUBDIVISION
06 / tic Arc'.
'.
OWNER
3. /i'E/T/N Aci4f-V
ADDRESS
CONTRACTOR
4. ADDRESS
DESIGNER
5. ?'t ,5E/: 7'
ADDRESS
c c)
77 /9/W &C :cj(/
CHANGE OF USE FROM
6.
TYPE
7, OF,
WORK
'LJ' NEW
YJ BLD.
❑ ALT.
❑ PLMB.
PHONE
ZIP
PHONE
ZIP
PHONE
gvei54te
ZIP
TO
❑ AD N. ❑ RPL.
❑ MECH. ❑ M.H.
❑ MVE.
❑ POOL
❑ OTHER
LEGAL DESCRIPTION - SEE ATTACHED
PARCEL NUMBER/S /) 9q i or
CJf S 7 cY!' rn. // % C Pa:S e'7G>tNi!'j/
PTry 6r= /651Y' � Z¢-
Actual Set Backs in Feet
North 4/4/I (South 413 East .S' (West t/'�' ` ..'
Size of Parcel
/3-202
Zone Classification
yYlu�
rim) fc
Type Const.
Occupancy
Valuation
Main Floor Upper Floors
/72£s )2Z6
Sprinklered
❑Yes ❑No ❑ Req'd.
Building Area in Sq. Ft.
/7Z8
Garage Area
Area of Decks
Finished Basement
No. Baths
No. Stories
Storage
Unfin. Basement
No. Rooms
No. 7 Dwellings
CERTIFICATE
of EXEMPTION
Req'd. Req'd.
DESCRIBE WORK
8. 6.4/6 e4'4/ir
� G VALUATION
SOURCE
OF
UTILITIES
GAS
ELECTRIC
WATER
Enum. Dist. Location (Area)
SEWER
66/%/
Ownership
Public 0 Private
USE CODE
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 or the
performance of construction. SEE REVERSE SIDE FOR REQUIRED INSPECTIONS
DATE OF APPLICATION f — / V ��% SIGNATURE OF APPLICANT
SPECIAL APPROVALS
NAME DATE
Uti ities
Plans Examiner
SEPA Checklist
SPECIAL CONDITIONS: , 5 aa.thome, /// /fie
.ZON/: Fa/'lk/2,cy .t a R f cv( .506
er e► ys•/oer -75, or Pd
-2./ 7c�.
Not Req'd.
FEES COLLECTED
Single $
Building 4:3711'Gf_'
Plumbing
Mech.
Plan Check # • r'L'
SEPA
Mobile Home r7
Other (Specify) /8'60
P6/o eXeq/574er
oU
TOTAL $ G 5_ O ?VC
PERMIT NUMBER
�o -zflo5
05* *25600
* 256.0.0
* 256006
A *0.00
185.32
10-13-80
2 6479,
02* *7800
*7800 rir
*78006
*000
325.1
1
0,2.
-'15'-80
6479.
*31600
*31600 1-0_
*31600'6
A *0.00
4.11 0, 4 z-
11 -24=80
6479,
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
Building Technician
g.
� a ' > /V« &
PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
'
111711.11t0 0'
DATE ISSUED
PERMIT NO. TOTAL r