HomeMy WebLinkAbout1979, 09-07 Permit: 79-3567 ResidencePLAN NUMBE(4
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 BLOCK SUB IV SION
l
OYyNER
3. JeV-
prDR)=5
CONTRACTOR
D RESS
DESIGNER
LEGAL DESCRIPTION — SEE ATTACHED
5' ADDRESS
PHONE
9:4-36 —36 /Z.)
ZIP
PHONEl/
PARCEL NUMBER /S PORT— j*„. - -4
3,71 OD: /0 /R5 A DJJ
Required Set Backs in Feet
North .54 (South 2, East Jo
-
1 IWest�
ZIP
Size of Parcel /
Type Const. Occupant)/
Zone Classification
Sprinklered
Elves ❑No ❑ Req'd.
PHONE
Valuation
Building Area in Sq. Ft.
ZIP
DWL Area Basement Area
// ! /zS
/7
Garage Area
Storage
CHANGE OF USE FROM
6.
TO
Split Entry
Split Level
/..
4=V. /
Rancher
TYPE 4071 NEW
7. OF {{��
WORK yv BLD.
❑ ALT.
❑ PLMB.
❑ AD'N. ❑ RPL. ❑ MVE.
❑ MECH: ❑ M.H. ❑ POOL
❑ OTHER
No. Baths
No. Floors
No. Rooms
Rec. Room
CERTIFICATE
of EXEMPTION
Reg d.
Rec'd.
Not Req'd.
DES IBE.WO%RK } �� y Q,
�i�i�it f/UG l x� /�% yr �✓ ✓t.GL.(-'I
VALUATION
9. 9,52)
Source
of
Utilities
GAS
ELECTRIC
WATER
SEWER
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 rem_ g construction or the
performance of construction.
DATE D eL '9 7 9- SIGNATUR
DEPT.
SPECIAL APPROVALS
REQ'D. RECD.
Env. Health CJ Q/
Planning
Fire Marshall
Co. Engineer
Utilities
Zone Clearance
SEPA Checklist
SPECIAL CONDITIONS:
DATEOV
t-C -7q OFFICIAL `-) !fd t321/
APPROVED FOR ISSUANCE
FEES COLLECTED
Single $
Building
Plumbing
Mech.
Plan Check
SEPA
Mobile Home
Other (Specify)
OJ
TOTAL 552
PERMIT NUMBER
7c3 --3. -6
DATE q' l - 7?
02* *82.00
*8200
*82006
E *0.00 8
35668
09 -07 -79
2 6479
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
09 -07 -79 356,72 *82.00°
DATE REMARKS
RECORD OF INSPECTIONS
T
Final Inspection
INSPECTED BY
0O-CA-A6
22C,9%
E *000
4.9500R
SOO
0 54, 5500
R & R CONSTRUCTION CO,
P.O. BOX 14217
SPOKANE, WA :' .214
928 -34/4
ICr y /AA' i D /h'i; ,4,revr/o v
/0r4Re- i_ odst "41 /1.544/ -0767
Jog /y Z
At'ic Al /25
vo GM' „oars '
150 pR- "'
1
25
9 ;
6
T 1
44
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