1979, 09-18 Permit: 79-4176 ResidencePLAN NUMBER
229
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
1.
2.
3.
JOB ADDRESS
E. 14706 Alki
LEGAL DESCRIPTION — SEE ATTACHED
LOT
8
BLOCK
1
SUBDIVISION
Dire Addition
OWNER
W. R. S. & Associates
AD32ooSSo. Pines
Inc
PHONE
922 -4022
99206
PARCEL NUMBER /S
Portion of 14544 -0757
Required Set Backs in Feet
North qo ISouth .24
East
(West /4
4.
CONTRACTOR
W. R. S. & Associates Inc.
ADDRESS
326 So. Pines
PHONE
922 -4022
ZIP
99206
Size of Parcel
100'x 113
Zone Classification
Type Const.
e
Occupancy
YY■.f, Subor bail
Sprinklered
❑Yes INo ❑ Req'd.
DESIGNER
5' ADDRESS
PHONE
Varuation
58,950.00
Building Area in Sq. Ft.
1570
ZIP
DW Area Basement Area Garage Area
1042 I 960 528
Storage
CHANGE OF USE FROM
6.
TO
Split Entry
Split Level
Rancher
X
TYPE
7. OF
WORK
GA. NEW
❑ BLD.
❑ ALT.
❑ PLMB.
❑ AD'N.
❑ MECH:
❑ RPL.
❑ M.H.
❑ MVE.
❑ POOL
❑ OTHER
No. Baths
No. Floors
1
No. Rooms
5
Rec. Room
CERTIFICATE
of EXEMPTION
Req'd.
Rec'd.
Not Req'd.
DESCRIBE WORK
8. Single Family Residence w /dble att. garage
VALUATION WATER
9. 58,950.00 I Ve&a.
Source
of
Utilities
GAS
ELECTRIC
Vera
SEWER
Septic
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.
DATE
SIGNATURE
DEPT.
Env. Health
Planning
Fire Marshall
Co. Engineer
Utilities
SPECIAL APPROVALS
REQ'D.
REC'D.
Zone Clearance
SEPA Checklist
SPECIAL CONDITIONS:
DATE OFFICIAL
APPROVED FOR ISSUANCE
FEES COLLECTED
Single
Building
Plumbing
Mech.
Plan Check
SEPA
Mobile Home
Other (Specify)
$
{'��do
;2 ,ice'
oU
TOTAL
DATE
PERMIT NUMBER
79—
/ 7,'
q -/7 -79
02* *25600
*25600
*25600,5
E *000 8
417.52
09 -18 -79
2 6479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
0 9 -1
417,65 *'`256.00a�
DATE REMARKS
4.
J
JUJ
RECORD OF INSPECTIONS
1
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•
J _)
j ✓�/ I-- J J
J �J
3U.:
Final Inspection
INSPECTED BY
Od -J8 -ad
400C 8
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