1979, 10-03 Permit: 79-5241 MHPLAN 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
1.
LOT
2.
t qp $OoN�.
LOCK
S BO ISION'
OWNER
3. LINDA SO sPot4 AKL'j
ADDRESS
1412_.02—, _ M0.3'-5/OW c IZ t AcP s
CONTRACTOR
4 {5hM'f
ADDRESS
PHONEQ
l 24— 74/74 -
ZIP
c69 016
LEGAL DESCRIPTION - SEE ATTACHED
G
PARCEL NUMBER/S �—j55 0137
art o _,
j
ALL Lo -r 2.77; to. I9.1 b F L-trr dLock /1 CogBIN ADDITION Tb
1R2-EIst ARES
Required
—Set Backslin 'Feet
North 1 / 3I [South SO , [East 32
(West
9'
PHONE
Size of Parcel
1/cr X 2.50i
Zone Classification
ACSR1c441XL4ANL-
ZIP
Type Const.
V—N
Occupancy
K-3
Sprinklered
❑Yes BKro ❑ Req'd.
DESIGNER
5' ADDRESS
PHONE
ZIP
Valuation
4e 1740/C00 Ile
DWL Area
1876
Building Area in Sq. Ft.
/87C,
IBasement Area
Garage Area
Storage
CHANGE OF USE FROM
6.
TO
Split Entry
Split Level
Rancher
MO 1LE. 1-10M
TYPE
7. OF
WORK
NEW
❑ BLD.
O ALT.
O PLMB.
❑ AD N.
❑ MECH:
❑ RPL. 0 MVE.
0 POOL
0 OTHER
No. Baths
No. Floors
/
No. F3ooms Rec. Room
CERTIFICATE
of EXEMPTION
Req'd.
Rec'd.
Not Req'd.
DESCRIBE WORK
8
Moal LE- H-OnA It ED AS j S11nE�
q�VALUATIONI Source GAS
9•�T L 0,000 iCg cIl
Utilities
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 local law regulating construction or the
performance of construction.
sr,
ELECTRIC
WATER
SEWER
SEPTii c
DATE
i/ /179
SIGNATURE
DEPT.
SPECIAL APPROVALS
REQ'D. RECD.
Env. Health h.
Planning n(/
Fire MarshallC
/('
747
Co. Engineer
Utilities
Zone Clearance
SEPA Checklist
SPECIAL CONDITIONS:
I/k'64S, Cf/t aXJi -,
.T-1046)1 N) i- y k me"t17' /1106 '�
y'GJ 2CH»Se"& Avegsne)JT l)17-1,
5770,c,
Co—/a# Scn v ie✓
>whfle 1011%9
N4AIL PEAmrT -.o OWw P- Wi+f_44
READY
DATE OFFICIAL
APPROVED FOR ISSUANCE
FEES COLLECTED
Single
Building
Plumbing
Mech.
Plan Check
SEPA
$
o
Mobile Home /00
Other (Specify)
TOTAL $ IDD *IC
PERMIT NUMBER
DATE
07* *10000
* 100.00 u(i
* 100.006
B *0,00
508,2
10-.01-79
2 .6479
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
.10,-,0.3.1_7 9
52'4.1 *100.0.0
L
1
kOP
DATE
"'" 40
RECORD OF INSPECTIONS
Final Inspection
REMARKS INSPECTED BY
pc (?
0
O. C
*I Cu ou
f
co
O
Po Po see(
peAE
011ICE OF TME
SPOKANE COUNTY PLANNING DEPARTMENT
Date O tta4 !
�o ___Building Codes Department
'ram Planning Departrnenx . ,'
subject._ Building__Permit
The Panning De artment has received a request from
for the release
of a building permit cth the property as described on
the attachqd affidavit/legal description. It has been
determine that a building permit should be issued
under the provisions of RCW 58.17.210. This memo
and attached affidavit/legal description must accom-
pany the building permit application.
,19
RUA/a_ X.
loft1iq
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&oc ( 1,Cot b°a Add. +o G ,,c ve s