HomeMy WebLinkAbout1980, 10-06 Permit G80B-539 3 Unit HtrsPLAN NUMBER
APPLICATION/PERMIT
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
PERMIT NUMBER
&'B
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3 COPIES
3.
JOB ADDRESS
LOT B OCK
OWNER
ADDRESS
2 r'' 7;:e
SUBDIVISION
r�tri rL /'
4.
5.
CONTRA TOR G>ri/ek`/
/ fi/
- %%eve, r �T� e c
ADDRESS
/1 ,4 /frX
DESIGNER
PHONE
ZI P
PHONE
ZIP
A7iy/
PHONE
LEGAL DESCRIPTION - SEE ATTACHED
PARCEL NUMBER/S
Actual Set Backs in Feet
North South
Size of Parcel
Type Const.
Valuation
Occupancy
Zone Classification
Sprinklered
DYes ❑No ❑ Req'd.
Building Area In Sq. Ft.
ADDRESS
CHANGE OF USE FROM
6.
TYPE
7. OF
WORK
ZIP
TO
2iNEW ❑ ALT. ❑ AD N. ❑ RPL. ❑ MVE.
❑ BLD. ❑ PLMB. ,' MECH. 0 M.H. ❑ POOL
0 OTHER
Main Floor
Upper Floors Garage Area
Storage
Area of Decks
No. Baths
Finished Basement
No. Stories
No. Rooms
Unfln. Basement
No. of Dwellings
CERTIFICATE
of EXEMPTION
Req'd.
DESCRIBE WORK
8. G v�' 3'cc
VALUATION
9.
SOURCE
OF
UTILITIES
GAS
e-Z r1 ! D
ELECTRIC
WATER
SEWER
Enum. Dist.
Location (Area)
Ownership
Public ❑ Private ❑
USE CODE
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 `/`V (} Ci SIGNATURE OF APPLICANT
SPECIAL APPROVALS
NAME DATE
Env. Health
Planning
Fire Marshall
Co. Engineer
Utilities
Plans Examiner
SEPA Checklist
SPECIAL CONDITIONS:
Rec'd.
Not Req'd.
FEES COLLECTED
pL'i
Single $ ✓
Building
Plumbing
Mech.
,2I
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL $ "`' /
04* *24.00
*24,00 N
*24.00Le,
A *0.00
5272
09-19-80
6479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
Building Technician
PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
0 9.Y,1; 9r;,, 80
DATE ISSUED
5 5, 9'z
PERMIT NO.
*2'400°PI —
TOTAL