1979, 12-28 Permit: 79-9620 Inspection CardOWNER
CONTRACTOR
N S E W
SET BACKS
CATION
TYPE OF WORK
DATE REMARKS:
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nflAittoiv o Prods 0-144A-.
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maaoWi — 141- rio4e : -stet arial!eQ,• hfir
APPLICATION /PERMIT
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH., JEFFERSON / SPOKANE. WASHINGTON 99980 / 16091 45 &3E76
APPLICANT COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 4 COPIES
JOB ADDRESS (u Lt? Il-t-9
LOT I BIRCH SUBDIVISION
o LAt
ADO �s6 �
CONTRACTOR
•
• ADDRESS
• DESIGNER
ptiorxE
MH
P ONE ONE
LEGAL DESCRIPTION - SEE ATTACHED
VANULL
OWWWWI Sat BaCIW in . a
'South
t
North Fa
iion. GbsRli�tllo
Valuation
onst.
Occupanc
Sprinkiereo
❑a1s ❑NO 0 R.n'e.
BU no Area In 60. Ft.
SS
CHANGE OF USE FRO
TO
Z
TYPE 0 NEW 0 ALT. 0 AWN. gRPL. ❑ MVE.
7 WORN SLO. 0 PLMB. .Q MECH. 0 M.M. 0 POOL OTHER
OWL Area
55111 Ent,
No. Baths
Basement P.I••
Garage Area
Spill Level
o. Rooms
Stony,
Rec. ' o
CERTIFICATE
1 EXEMPTION
Rea'•.
DESCRIBE wORK
VALUATION
9
D
0 C., r7 4S1l
Source
UtIttles
GAS
xx
ELEC k-"
SEWER
I hereby certify that 1 have read and examined this application and have read the "NO1 I1.L" provisions Included
on mveist. ode. and know the same to be true and correct. All provisions of laws dm, 1n , es governing this
type of work will be complied with whether specified herein o not The granting of .1 I.'I.101 does not presume
to give atithority to viola U' ■r cancel the Provisions of any otho, state or local law wont:mon rnnstroctiun or the
performance of construction. S
DATE I�-I�� t J SIGN, ION l)/fY�
SPECIAL APPROVALS
En ea.
Pia ning
Fire Harebell
Ca. Ertelneer
Zone Gluon.
SPECIAL CONDITIONS:
v` _ I,I
5' _ //2. //
1 1
Rec rot R.
FEES COLLECTED
Single
Building
Plumbing
Mech.
Plan Check
SEPA
Mobile Home
Other lSpeellyl
�pE�q —qe�
DATE •D —
Oa•
961.94
•1200
•12.00 E
•12.0035
•000 Sj
12- 20•-79
6479.
l
TOTAL
WHEN MACHINE
2,-79
3.12.0051-