1979, 08-02 Permit: 79-1472 ResidencePLAN 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
JOB ADDRESS
11-710 ALK I kl/
LOT BLOCK SUBDIVISION
T D cy'aA// oFsi4 T PLPFT Na 78-07o
LEGAL DESCRIPTION — SEE ATTACHED
OWNER
3. EP . EN UEL 81.4 lLpEl=
4.
PHONE
ADDRESS
5.2 is- s c NIcLIN RpA.S 6 PEEN Ac.
CONTRACTOR
5A M'E--
ADDRESS
R2.44-
ZIP
7goIco
PARCELNUMBER /S /G5-44/.., 0233
Required Set Backs in Feet
i
55 South / / /o
5
North
East
PHONE
Size of Parcel
S'/,Lfo' x 275
35" (West
1Z'
Zone Classification
AGR /CULTURAL— SIAB
ZIP
Type Const.
V -N
Occupancy
Sprinklered
❑Yes ❑No ❑ Req'd.
DESIGNER
PHONE
Valuation
ADDRESS
ZIP
Od
DWL Area Basement Area Garage Area
851) 81-6- I NONE
Building Area in Sq. Ft.
q6 2
CHANGE OF USE FROM
6.
TO
Split Entry
Split Level
Storage
NONE_
Rancher
TYPE
7. OF
WORK
YKEW ❑ ALT. ❑ AD'N. ❑ RPL. ❑ MVE.
CJ BLD. ❑ PLMB. ❑ MECH: ❑ M.H. ❑ POOL
❑ OTHER
No. Baths No. Floors
CERTIFICATE
of EXEMPTION
No. Rooms
Req'd.
Rec. Room
IVOA(;E
Rec'd.
Not Req'd.
DESCRIBE WORK
8. RESs!DENCE-- Dr
A-rr7 c H-E5> - No c AAE_
VALUrAyTION Source GAS ELECTRIC WATER SEWER
9. /�.. /✓ Di7o'-cy Utilities
1 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.
BB
DATE
_(7 -7q
SIGNATURE
SPECIAL APPROVALS
DEPT. REQ'D.
Env. Health
RECD.
Planning
Fire Marshall
Co. Engineer
Utilities
Zone Clearance
SEPA Checklist
SPECIAL CONDITIONS:
1- 1'7-3'0
OK- o N FI LE
0�1 M
Pt- s A P > vv n e -2--
FEES COLLECTED
Single $
Building # 5024
Plumbing
Mech.
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL
$
PERMIT NUMBER
71 -
DATE ..3U4 -y /7/ 1ar9
02* *5000
*5000 N
*50,006
B *0.00 8
1 4 7. 1 R
08 -02 -79
6479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
F-2-77 DATE O -2-79 OFFICIAL 0 8_ 0 2- 7 9 1 4 7• 2
APPROVED FOR ISSUANCE
*5U.0OaI-
RECORD OF INSPECTIONS
REMARKS
Final Inspection
INSPECTED BY
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ED ENGEL, BUILDER
5215 S. CONKLIN RD.
GREENACRES, WA. 99016
(509)„924-6133
r• R/w At; per Co.iy
E ; arres per*.
S'ca.l.e I = 2(2'
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