1979, 07-18 Permit: 79-609 Residence,r'LAN NUMBER
APPP,.ICATION/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
[(: 114.0-75- /4,u.c fie
COT BLOCK SUBDIVISI N
2./#
LEGAL DESCRIPTION — SEE ATTACHED
RA/E/ r A/ AND
PARCEL NUMBER/S
OWNER
3. NATHAN AP- AM E.
ADDRESS
7'3 22 N. ISI V! 5)Dl�
CONTRACTOR
SAME-
4.
AME4' ADDRESS
PHONE
i7�1-375
SPoKMI E
ZIP
cfIZos
Required Set Backs in Feet
i
North %.:Z, South ..�
East /2
i
West %—.,
DESIGNER
5. ADDRESS
CHANGE OF USE FROM
6.
TO
PHONE
ZIP
PHONE
ZIP
Size of Parcel
5c' x /5t'
Type Const.
V -M
Occupancy
R.-3
Zone classific•tion
>�SLGC.G�
Sprinklered
Oyes ONO ❑ Req'd.
Valuation
DWL Area I Basement Area
/080 108
Split Entry
Split
Building Area in Sq. Ft.
10 So
Garage Area
Level
TYPE
7. OF
WORK
❑ NEW ❑ ALT. ❑ AD'N.
Er -BLD. ❑ PLMB. ❑ MECH:
❑ RPL. L7 n/iVE.
❑ M.H. ❑ POOL
❑ OTHER
DESCRIBE WORK
8. RESIDENCE_ -6102A6ri
NONE— 0 DF_c: ATTAc
VALUATION Source G.SiS EL CTRIC
of
9. Utilities bI&.. F.R.
No. Baths
No. Floors
CERTIFICATE
of EXEMPTION
N\ov y
WATER
Storage
Rancher
X
No. Rooms
Rec. Room
Nc»4E_
Req'd.
Rec'd.
Not Req'd.
SEWER
SEPT/C
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 I al law regulating construction or the
performance of construction.
DATE 7 -9- 79' SIGNATURE r_ G CIdC—C
DEPT.
SPECIAL APPROVALS
REQ'D. REC'D.
Env. Health
Planning
Fire Marshall
Co. Engineer
Utilities
Zone Clearance
SEPA Checklist
SPECIAL CONDITIONS:
SPEc,AL NSPGci7 ki PA'D 6/z6/77
REGJPT No. ',t '53
$oN 0 SET ge 3004
� f373 to - L
DATE —1-1-5-7/ OFFICIALJANea-, ?Iv
APPROVED FOR ISSUANCE
FEES COLLECTED
Single
Building
Plumbing
Mech.
Plan Check
SEPA
Mobile Home
Other (Specify)
0c
TOTAL $ 57'
PERMIT NUMBER
7y+ 6 0
DATE J of(_j J (01
02* *5400
*5400 bi
6Q8R
07-18-79
2 6479
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PEWIT.
0 7 — 16'79 60.92
*5400°
1=,
,Z.
3/
13c.' c n E/.5 A v