1979, 12-07 Permit: 79-8834 Professional BldgPLAN NUMBER
1 (/-4 /' /J
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
LOT
SUBDIVISION
/25.9.
4.
OWNER
H NE
tom' e�i vJt LL
ADDRESS
.�! /77O , / ' /ed.
CONT,RACTOk
F £JZ /J 11*—
ADDRESS
DE.GNER
5. X9', jf-
ADD.RE,SS
ZIP
rY126
PHONE
--.2_57C-"o72 57
LEGAL DESCRIPTION - SEE ATTACHED
/-igJZiL
ZIP
PARCEL NUMBER /S
fir= ,E A7TAC 5,O J-67
�..
Rea}erne$ Set Backs in Feet
North' 6011 South 24'
Size of parcel
1141x 346.5'
Type Const. Occupancy
6-2
PHONE
ZIP
CHANGE OF USE
6.
FROM
TYPE
7, OF
WORK
I:CNEW
❑ BLD.
❑ ALT.
❑ PLMB.
TO
❑ AD'N.
❑ MECH:
❑ RPL.
❑ M.H.
8. NESCRIB ORK
I'Xv sstoki
9.
VALUATION. J
Source
of
Utilities
uA
❑ MVE.
❑ POOL
❑ OTHER
Valuation
Z--522 cco
DWL Afea
Basement Area
A/oN6
Split Entry
GAS
ELECT R I C
No. Baths
n1+
East 2,i. West
Zone Classification
ZI
Sprinklered
❑Yes IgNo ❑ Req'd.
Building Area in Sq. Ft.
FLOOK.
Garage Area
Split Level
No. Floors
CERTIFICATE
of EXEMPTION
Storage
Rancher
VSATER
I hereby certify that I have read and examined this application and have read the "NOTICE" provisions included
ordinances governing this
permit does not presume
ulating construction or the
on reverse side, and know the same to be true and correct. All provisions of laws
type of work will be complied with whether specified herein or not. The granti
to give authority to violate or cancel the provisions of any other state or local I
performance of construction.
DATE /7- SIGNATUR
DEPT.
SPECIAL APPROVALS
REQ'D. REC'D.
E.
Env. Health
En
f /r-7972.geV
Planning
Fire Marshall
cf' i –* / –79
Co. Engineer
/7 7%
Utilities
Zone Clearance
SEPA Checklist
SPECIAL CONDITIONS:
DATE /4 977 OFFICI
APPROVED FOR ISSUA
Rec. Room
Mam.
FEES COLLECTED
Single
Building
Plumbing
Mech.
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL $
PERMIT NUMBER
cq -585 -4
DATE
05* *1.337.00
* 1.337.00 Li
* 1.337.006
E *0,00 S
411.0R
09 -17 -79
2 6479,
06* *35,00
*3500 t5
*35006
E *Q00 S
411.12
09- 17 -79
2 6479,
885.3
/2- '7 -'7`�'
a‘OS0 ,OD
WHEN MACHINE VALIDATED IN THIS SPACE,
TH IS1BECOr A Tr IT.
8'83,45*2058..00RE-2
343e.,00
DATE
RECORD OF INSPECTIONS
REMARKS
( 4 .t
•
.ry
K+ •
•
Final Inspection
INSPECTED BY
trJ1J
E *G CC E
0P*
• 22008
* 2700
*2200
(•J J'01
E *0'0JC
¥J'22S'00X
1'221'00
-6WNER
INSPECTION RECORD
LOCATION
CONTRACTOR
NS E W
SET BACKS
TYPE OF .WORK
FINAL INSPECTION: C��� - r/ te
DATE
REMARKS/
/-5-4t
E<
,c�
prAG9/
vvvi ?Au s7l
t y P, r� 25
INSPECTION RECORD
OWNER
LOCATION
CONTRACTOR
N S E W
SET BACKS
TYPE OF WORK � /
FINAL INSPECTION: ta4 -s>/ f 7-i-C(�
DATE
-3/ -k/
1
REMARKS:
teee/ v j' i, f;Oss
�
S 5 i/
�� r 0 55.e( eat JIM Ait -ii. o-7.-7
NUMBER
PLAN
APPLh.A s ION/ PENN' I
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
BORTV Fill JEFFERSON' / SPOKANE, WASHINGTON 99160 / IS ®) •SB3615
;f.7.1.313 f.7.1.313 ADDRESS M
O BLUe LK IPUNUKIJD
N
E /2519
-3 J%KN (M AZ4 x 1✓bLL
- A% JOGS M'N s ,Pd
4. ni+l Ps
CON r
RI N
A ES Ss .5521 S jbh Z. ✓t Di',
5. Je .efi -L.E Ali/SCUP .¢14/ fee %
/774EPiMcs •P/ITO
PHONE ZIP
LEGAL DESCRIPTION — SEE ATTACHED
PARCEL NUMBER/S iasf. - l C .
SEE A7TACHEO 1.ff4 4 .
te., iMeMSet B F. et
n t5o' 16e'tn 26' a 2'ttllWe 12'
114'A �5qI�, .5' ��K.e Pe,t
Type Conit. occupancy WA, a
l 3 -2 Jes Igne
Y 0 Rea,
Valuation O � m VA Far FLOOt
OWL Atea !Basement Gummier. StMaee
scut Entry � Sant Lamp aeaner
TYPE NEW 0 ALT. 0 AWN. 0 RPL. 0 MVE.
WORK 0 BLD. - 0 PLMB. 0 MECH: 0 M.H. 0 POOL
Foul 1 Iwo
Xm
1
Rec. Room
CERTIFICATE
of EXEMPTION
llE4cwe
R SSl )J A Bu11LdiKi
ar;on
0. % U1 Ile
111,111/ Ihm
00 'averse side. and know tbP same
to give milhorit% in violl.ot
performance. of
CT
Read Rare. mat Re;..
ATE
EWER
r
. ,T
DEPT.
SPECIAL APPROVALS
ED'O.
RECD
Ene. Hee.
Plennlne
� yd. M ,null
eo. EnPle«.
L_J / 7 -79
Ulintles
Zane Gelman.
SPECIAL COPm171016
4149,07 e.71i3,Agl
FEES COLLECTED
s -y:a s
Bwldm$ .20-4 Z4
Plumbing
Pin OBC /.�3% `±c•
SEPA > -- DO
Mobile Home
Other (Specify)
TOTAL S
YON NM tCI1N
DATE
?4 -883
GRANT NUMBER
05* +133700
+1.33700 0
•1.337005
E
•000 8
411.02
69 -17 -79
2 6479.
06• *3500
*3500 5
•35005
f •000 8
41112
09 -17 -79
2 6479
883.3
r2-
'VSn,0513 ,CU
H
far