1979, 09-12 Permit: 79-3829 ResidencePLAN NUMBF,
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
SUED VI ION
-pi 4-17DTLI
OWNER
3.
4.
ADDRESS
CO 1 R CTOR
ADDRESS
d
1,1t r 9672.16,
LEGAL DESCRIPTION - SEE ATTACHED
ZIP
PHONE
PARCEL NUMBER /S
!44
TM eif.
Required Set Backs in Feet
North .6 (South .- East
est
ZIP
DESIGNER
C
ADDRESS
PHONE
Size of Parcel
I S : tic ° U21Z
TypeeCConst. Occygpancy
MAtati4i(
Valuation
ZIP
CHANGE OF USE FROM
6.
TO
Z ne Class' cat' n
�ff ��rJaxi
S rinklered
❑Yes No ❑ Req'd.
Building Area in 014
D L Ar a 13aseme Garage Area
Split Lev I
Sq. Ft.
Storag
Rancher
TYPE
7, OF
WORK
YI NEW ❑ ALT.
❑ BLD. ❑ PLMB.
❑ AD'N.
❑ MECH:
❑ RPL.
❑ M.H.
❑ MVE.
❑ POOL
❑ OTHER
No. Baths
o,.�loors
No. Rooms
Rec. Room
CERTIFICATE
of EXEMPTION
Req'd.
Recd.
of q
DESCRIBE WORK
8. U(V 'd7/lieF er ri4YY! /L !! 4 Is (�`� pZ
VALUATION Source 1 GAS ELECTRItC WATER
of `/ ���
9. ,a utilities 4
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 1 cal law re ulating co struclion or the
performance f con trruction. r
DATE �
� t-/ SIGNATURE]
MAI
SEWER
�JL
l�'Af
SPECIAL APPROVALS
DEPT. r REQ'D. REC'D.
Env. Health
Planning •
Fire Marshall
Co. Engineer
Utilities
Zone Clearance
SEPA Checklist
SPECIAL CONDITIONS:
DATE
977
OFFICIAL'1 -'L/
APPROVED FOR ISS`t
% 7.. -CfLt�
ANCE
FEES COLLECTED
Single
Building
Plumbing
Mech.
Plan Check
SEPA
Mobile Home
Other (Specify)
uo . ,
78
$
PERMIT NUMBER
DATE
02* *78.00
*78,00 tn-
*78006
*C100
A
38282
09 -12 -79
2 6479,
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS ECOMESAPERMIT.
- 12' -79
382,95 *78,0.0 21
RECORD OF INSPECTIONS
DATE REMARKS
Final Inspection
INSPECTED BY
qq,16
06-1 F-16
.--711-5131S-
it 0' 0 C,
'F,0OR
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OS.
>r
49' Gam"
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r
CF"
o
40
o
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rz 4 T] �T
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M2,9° ° s L' 09"
vIP1Z-ALA
P
t
d
. / L.
177-N e
— —/- —
/
Uf,1'TI'01'
(0' ete,sm :►.c'r
CLEV Wr I O U 0:0•
NOMEWORIIS, ING,
E. 13306 • 11ta AYE.
SPOKANE, NA 99216
5091 MAIM