1979, 08-03 Permit: 79-1523 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
• E. 1+715 ArLK I AVE..
LO BLOCK SUBDIVI % 'e //
C'%/4 /2 " ev7
2.
3.
OWN
LEGAL DESCRIPTION - SEE ATTACHED
PHONE
4. c ` `RCS _ /t1�1.e/) 1
AD R S�
/ i9 7 �. ,ems 4e/.4t y/
DES' zi
5. �tCs•7
6.
RESS
/
CHANGE OF USE FRO IY' 1TO
ZIP
F 1
PARCEL NUMBER /S
4/41-49 75-,
Required Set Backs in eet
North 36 ` 'South 30 LEast ZS Iwest
Zone Classification
Size of Parcel
113 ` X loo'
Type Const.
N
Occupancy
Valuation
ZIP
$6l /ssao
DW 'Basement Area
/2
Split Entry
TYPE
7. OF
WORK
❑ ALT.
L76LD. ❑ PLMB.
❑ AD N.
❑ MECH:
❑ RPL.
❑ M.H.
❑ MVE.
❑ POOL
❑ OTHER
No. Baths
22.
SINc-;LE- FAMILY 151 €s
Sprinklered
❑Yes ❑No ❑ Req'd.
Building Area in Sq. /Ft.
Ntadario /7e2.5-
Garage Area
/ooh ' L/7 1,.5
Split Level
Storage
Rancher
No. Floors
No. Rooms
CERTIFICATE
of EXEMPTION
Req'd.
Rec. Room
NQNE.
'Recd Not
Req'd.
1—
DESCRIBE WORK
• RESfPEN(cc -Cyr KR Cif-, d P I:c k fETTAct4E,b - / F! IS if 13EDR.oa,r,_A} 4 8ATI} )N POSE.
VALUATION Source GAS ELECTRIC I WATER I SEWER
of
aO Utilities '�
g 6' j4 •
1 hereby certify that I have read and examined this application and have rea
on reverse side, and know the same to be true and correct. All provisio
type of work will be complied with whether specified herein or not.
to give author'ty to violate or cancel the provisions of any other st
performance f const uction.
DATE
9
DEPT.
Env. Hea(Eh
Planning
Fire Marshall
Co. Engineer
Utilities
SPECIAL APPROVALS
REQ'D.
REC'D.
SEPT1c_
NOTICE" provisions included
ws and ordin.nces governing this
ing of .rp: it do :. not presume
law r yip tin• struction r the
Zone Clearance
SEPA Checklist
SPE► AL CONDITIONS:
oK: oN F ►I•• - 4 7f
Au woo ®
12 /rt) So'
,v Mei( o/c kit-A),
DATE + ��l
OFFICIAI� ����
APPROVED FOR ISSUANCE
FEES COLLECTED
Single
Building
Plumbing
Mech.
Plan Check
SEPA
Mobile Home
Other (Specify)
*821
TOTAL $
PERMIT NUMBER
79 -/sue
DATE JltLy 2_ope n
02* *8200
*8200 N
*82006
E *Q00 8
1522
08 -03 -79
2 6479,
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
08 -05 79
152.351 *82.00aH
DATE REMARKS
—t
RECORD OF INSPECTIONS
Final Inspection
INSPECTED BY
12SS%
E ¥QCC
485'OOR
}35 00 P-
054 *8500
P ciiirtoel „Sect/ Ada. 121S. brosbud oro
L4- 2.. &loek .0;ge Add.!-,s
g,.ciant v p , P Etv4--)2:ti it)08 serFt - goOcks0 _SePhe 7filge
en-10P f IsivIst,pd ,qode n b osuiK "
ToP of- Ththydiel rt./ in -Me turffri 113 , ''
_Saea. le //' .Thtf
4eDe/ /at
■•••••••••■.
/ 3
A I k's Chaeni
4,1