1980, 08-13 Permit 80-5816 Remodel SchoolPLAN 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 3 COPIES
1 JOB ADDRESS/I IJ t
LOT BLOCK SUBDII/ISION
2 I c't-orildw rA 21c t
3. OWN T pOIyE
ADDRESS �% 0 / C IP/'vOJ
�-1- - LL, UI tlj��l j►' �3 ;�
CONTR•CT•R, P ONE
4. ADDRESS
7
DESIGNER
ADDRESS
CHANGE OF USE FROM
6.
TO
ZIP
PHONE
ZIP
LEGAL DESCRIPTION — SEE ATTACHED
PARCEL NUMBER/S
Actual Set Backs in Feet
North JSouth
Size of Parcel
East
'West
Zon Classiflcatio
Type Const. Occupancy Sprin lered
Dyes ❑No ❑ Req'd.
Valuation Building Area In Sq. Ft.
Main Floor Upper Floors Garage Area Storage
Area of Decks
TYPE
7, OF
WORK
❑ NEW '<ALT. ❑ AD'N. ❑ RPL. ❑ MVE.
.I',,BLD. ❑ PLMB. ❑ MECH. ❑ M.H. ❑ POOL
❑ OTHER
No. Baths
Finished Basement
No. Stories
CERTIFICATE
of EXEMPTION
Unfln. Basement
No. Rooms
No. of Dwellings
Req'tl. Rec'd.
DESCR BEWORKK��/� �j�1� � j 'I�l �/ ��p��/��/� (�fiGn
4/ U r� SOURCEGA ELECi RI . v WATER I SEWER
9 50Q UTILOITIES
Enum. Dist,
Location (Area)
Ownership USE CODE
Public ❑ Private
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 or the
performance of construction. SEE REVERSE SIDE FOR REQUIRED INSPECTIONS
DATE OF APPLICATION 6 - - p .
SIGNATURE OF APPLICANT ILS
SPECIAL APPROVALS
NAME DATE
Env, Health
Planning
Fire Marshall
Co. Engineer
Utilities
Plans Examiner
SEPA Checklist
SPECIAL CONDITIONS:
Not Req'
FEES COLLECTED
Single $
Building 6461
Plumbing
Mech.
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL $ 00
PERMIT NUMBER
56/6.
* 1 0,00
* 1 0.00 In
*1Q006
E *0,00
581.52
06"-16-80
6.479,
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
'00-9.6'`8i'0 581,6z *1O.002.17-'
DATE ISSUED PERMIT NO. TOTAL