1979, 09-05 Permit: 79-3402 Residence VoidAPPLICATION/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
Ois
3
BC6CKB"SUB%NrON
1
Snoopy's First Addition
OWNER
3 N.W. Const. Services & Assoc, Inc.
ADDRES
N. 70 Argonne Suite G
PHONE
922-1705
LEGAL DESCRIPTION — SEE ATTACHED
PARCEL NUMBER/S
Ptn. of 23544-0705
2199206
Required Set Backs in Feet
North /1 'South .23
East 3o IWest
7'
CONTRACTOR
4. ADDRESS
DESIGNER
5' ADDRESS
6.
Same
CHANGE OF US
PHONE
Size of Parcel Zone Classification
80X160 Irr.
ZIP
PHONE
ZIP
Type Const.
FrameV-N
Valuation
52,000
DWL Area Basement Area Garage Area Storage
126 Levelif"
Split Entry Split Rancher
XX
Occupancy
�-3
S in klered /
❑Yes o ❑ Req'd.
Building Area in Sq. Ft.
1,052
TYPE
7. OF
WORK
II NEW ❑ ALT. El AD N. 0 RPL. ❑ MVE.
C BLD. 0 PLMB. ❑ MECH: 0 M.H. 0 POOL
0 OTHER
DESCRIBE WORK
8. Single Family Residence - No garage - No deck
ELECTRIC
VALUATION
9. 52,000.00
Source
of
Utilities
GAS
WWP
Vera
No. Baths No. Floors No. Rooms I Rec. Room
Ngne
Not R $I
CERTIFICATE
of EXEMPTION
WATER
Vera
Req'd.
Rec'd. eq' I.
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 Vi 7/ 7ff SIGNATURE
DEPT.
SPECIAL APPROVALS
REQ'D. REC'D.
Env. Health
Planning
Fire Marshall
Co. Engineer
Utilities
Zone Clearance
SEPA Checklist
SPECIAL CONDITIONS:
R/W 50'
o N' M
DATE
oFF1CIAL\J't-f- �� a-
�
APPROVED FOR ISSU NCE
FEES COLLECTED
Single $
Building XX
Plumbing
Mech.
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL $
PERMIT LUMBER
DATE A{AI1 /71077
171
02* *54,00
*54.00 17)
*54.006
A *000
34(112
09-05-79
A' 6.479
WHEN MACHINE VALIDATED IN THIS SPACE,
THI$,B COM S AXF.,RMIT.
U U /y 340,22 *5400oJ
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