1979, 09-05 Permit: 79-3400 ResidencePLAN NUMBER
/3
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 ita5-
Burns Rd.
LOT BLOCK SUBDIVISION
4
2
OWNER
3. N.W. Const. Services & Assoc., Inc
Snoopy`s First Addition
ADDRESS
N. 708 Argonne Suite G
CONTRACTOR
4 Same
PHONE
922-1705
LEGAL DESCRIPTION — SEE ATTACHED
PARCEL NUMBER/S
Ptn. of 23544-0706
' ADDRESS
DESIGNER
5. ADDRESS
CHANGE OF USE FROM
6.
TYPE
7. OF
WORK
LX NEW
BLD.
❑ ALT.
❑ PLMB.
ZIP
99206
PHONE
ZIP
PHONE
TO
❑ AD'N.
❑ MECH:
❑ RPL.
❑ M.H.
❑ MVE.
❑ POOL
❑ OTHER
PAquirod Set Backs in Feet
North 2.3. (South /0' [East 95�
r
(West 30
Size of Parcel
62X160 - Irr_
Zone Classification
Type Cqr1 st. Occupancy
FrameV -' R- 3
Valuation
62 non
sIN LE FAMILY/Les
Sp nklered
❑Yes i'No ElReq'd.
Building Area in Sq. Ft.
1,052
DWL Area Basement Area Garage Area
ZIP
1 052 526
Split Entry
No. Baths
1
Non
Split Level
XX
No. Floors
CERTIFICATE
of EXEMPTION
No. Rooms
7
Storage
Rancher
Rec. Room
Req'd. Rec'd.
Not Req'd.
DESCRIBE WORK
8. Single Family Residence - No garage No deck
VALUATION
9. 52,000.00
Source
of
Utilities
GAS
WWP
ELECTRIC
Vera
WATER
Vera
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 c // 7/? 9 SIGNATURE
W
DEPT.
SPECIAL APPROVALS
REQ'D. REC'D.
Env. Health
Planning
Fire Marshall
Co. Engineer
Utilities
Zone Clearance
SEPA Checklist
SPECIAL CONDITIONS:
g_/W So'
DN
DATE 1
•
FEES COLLECTED
Single $
00
Building Xx
Plumbing
Mech.
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL $
PERMIT NUMBER
—
DATE M.& 171['19
02* *54,00
* 54.00
* 54,00
A *000
339.92
09-05-79
2 6479,
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
O F F I C I AL`S � �0 9— 0 5 7 Q
APPROVED FOR ISS
CE
340.0
*5400