1979, 08-03 Permit: 79-1521 ResidencePLAN NUMBER
e `y
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
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LOT, BLOCK SUB VISION
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CHANGE OF USE F
6.
TYPE
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WORK
P" --NEW ❑ ALT.
1% BLD. ❑ PLMB.
9 dig
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ZIP
P ONE
ZIP
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LEGAL DESCRIPTION — SEE ATTACHED
PARCEL N`UMBER /S
4/4/
/4/C' %4/p
Required Set Backs in Feet
-/
North
(South 15
Size of Parcel
3 11 X 7(0' 1ZS I 'RR
Type Const. Occupancy
v -n/ p--3
Valuation r`
u � ,/5-oo: YJC,
DWL Area Basement Area
.2,1 I love
East 34
TO
❑ AD N.
❑ MECH:
❑ RPL.
❑ M.H.
❑ MVE.
❑ POOL
❑ OTHER
DESCRIBE WORK R .,siDE NcE -- G /crt�Eci I9EGK.S kr-r-AcArep
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VALUATION SouPce
of
Q, 52,C Utilities
GAS
ELECTRIC
1 hereby certify that I have read and examined this application and have read.the
on reverse side, and know the same to be true and correct. All provisions/ la
type of work will be complied with whether specified herein or not. Th' gra
to give authority to violate or cancel the provisions of any other state .r I
performance of c. structi'.n.
Split Entry
No. Baths
Split
1West 3Q
Zone Classification
SINGLE . ►. IL
Sprinklered
❑Yes ❑No ❑ Req'd.
Building Area in Sq. Ft.
2-192.5'''
Garage Area
47/. S”
Level
CERTIFICATE
of EXEMPTION
WATER
Storage
Rancher
No. Rooms Rec. Room
Req'd. Rec'd. Not Req'd.
DATE
SIGNATU
SEWER
s�ll'TI c-
OTICE" provisions included
and ordinances governing this
of a perm' does .. presume
reguj;,.. Co.: uction o the
„✓
DEPT.
Env. Health
Planning
Fire Marshall
Co. Engineer
Utilities
SPECIAL APPROVALS
REQ'D. REC'D.
7A-741/7.
Zone Clearance
SEPA Checklist
SPECI L CONDITIONS:
c k- fly 1-f-4 -Fo '11'
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DATE13 "3-79OFFICIAL ...R.42424/ ��
APPROVED FOR ISSUANCE
FEES COLLECTED
Single
Building
Plumbing
Mech.
Plan Check
SEPA
Mobile Home
Other (Specify)
scr7
TOTAL
c
$ y7 D
PERMIT NUMBER
?q= /jam-/
DATE JRL\ 2nd L97/
02- cf-7,0
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WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
08.05 -79
15215 *97.002..'x_
DATE REMARKS
4
RECORD OF INSPECTIONS
Final Inspection
INSPECTED BY
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L %/Z_ E 7723.6 / 7).072_
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Spokane Trusses, Inc.
10410 EAST MONTGOMERY • SPOKANE, WASHINGTON 99206
TELEPHONE (5091 924-2420
QUOTATION - CONFIRMATION
CUSTOMER
BILLING
ADDRESS
JOB
ADDRESS
R. L S
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TO
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DELIVERY INSTRUCTIONS
RUSSES & COMPONENTS
DATE ORDERED DATE WANTED
PUR. ORD. NO.
JOB NO.
PHOI \E NO.
DESIGN LOADING
TERMS
i q„ 7
a 24 - 1
4 2 Psr
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QTY.
�"�I
SPAN
OVERHANG
T.C.
SIZE
B.C.
SIZE
CUT
SPACING
CANTS
OTHER
(q)
EXTENSIONS
PITCH L R
L
R
t
9
24 r
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ALL TRUSSES ARE BUILT TO ORDER DELIVERY CHARGE
AND CANNOT BE CANCELED OR RETURNED SUB TOTAL
FOR CREDIT.
�; TAX
t TOTAL
ilR f1CQ !`flA1FIf.]MGTIr1N (thin arP h�iilrlinn rho,. :lh(1V!! [f U55F!5)
- - — —.._�.
_
Please sign and return one copy.
(�
1 1 ousfr- i n and frevirn.4,00 -wNYl
SPOKANE TRUSSES INC.
BY c -.PP2
CUSTIlLER •
jI
ACCEPTED BY
See General Terms & Conditions on Reverse Side
Form No. 1