1979, 09-05 Permit: 79-3404 Residence VOIDPLAN 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 A<]4
S. 11
i!io!
Burns Rd.
LOT
5
BLOCK
1
SUBDIVISION
Snoopy's First Addition
OWNER
3. A1 X s Const. Services & Assoc., Inc..
4. ADDRESS
N. 708 Argonne Suite G
CONTRACTOR
Same
PHONE
922-1705
LEGAL DESCRIPTION - SEE ATTACHED
PARCEL NUMBER/S
Ptn. of 23544-0705
ZIP
92206
Required Set Backs in Feet
North 12, r (South 391
j
East 30
West 53
DESIGNER
ADDRESS
CHANGE OF USE FROM
6.
TYPE
7. OF
WORK
NEW
BLD.
❑ ALT.
❑ PLMB.
PHONE
ZIP
PHONE
ZIP
TO
❑ AD'N.
❑ MECH:
❑ RPL.
❑ M.H.
❑ MVE.
❑ POOL
❑ OTHER
Size of Parcel
100X117 Irr.
Type Const. I Occupancy
Frame N R.-3
Zone Classification
S/NvL._ FAM Ly 124E.s
Sprinklered
❑Yes
ENo ❑ Req'd.
Valuation
51,75
Building Area in Sq. Ft.
DWL Area Basement Area
962 962
Split En
XX
y
No. Baths
2
9621,022
Garage Area Storage
None
Split Level
No. Floors
CERTIFICATE
of EXEMPTION
DESCRIBE WORK
Single Family Residen - - N. •ara•e - 6X10 deck A-rc/4 L7
VALUATION Source GAS ELECTRIC ATER
9. 51,750 utilities WWP Vera
Vera
Ranche
No. Rooms
Rec. Room
No
Req'd.
Rec'd.
Not Re
SEWER
Septic
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 regulating construction or the
performance of
construction.
DATE _ ' / 7/7g _ SIGNATURE
DEPT.
Env. Health
SPECIAL APPROVALS
REQ'D. REC'D.
,eLE:eY-6
Planning
Fire Marshall
Co. Engineer
Utilities
Zone Clearance
SEPA Checklist
SPECIAL CONDITIONS:
RA) -'o'
byJ M�
DATE
OFFI
APER
FOR ISSUANCE
FEES COLLECTED
Single
Building
Plumbing
Mech.
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL $
c
PERMIT NUMBER
71 -
DATE At6 !7l /cl7y
02* *54.00
*54.00
54.00
A *000 0
340,3
09-05-79
6479.
U
— w
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
tibuaArtd 9�(79 •3105�+