1979, 11-14 Permit: 79-7815 Residence(PLAN 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
3
JOB ADDRESS
1 CI
LOT BLOC
zt).
LEGAL DESCRIPTION — SEE ATTACHED
SUBDIVISI N
ADCESS
v
0
4.
CONTRACTOR
PHONE
Qa-i-i5 3
ZI P
gg21
PHONE
PARCEL NUMBER/S
--?.,e.34I C1)-03
` b t t(4)gylcd‹.114-1)
Required Set Backs in Feet
North [South 'Z.' .(, [East 1.3Z' (West 30�
ADDRESS
ZI P
Size of Parcel
1(0.5". (-431
Zone Classification
Type Const. Occupancy
Sprinklered
❑Yes ❑No ❑ Req'd.
DESIGNER
CHANGE OF USE FROM
6.
TO
PHONE
ZI P
Valu ion Building Area in Sq. Ft. rp
for, IpOO
DWL Area Basement Are
(jTa Garage I Sto
P,Lice
Lib
Split Entry soil Level
Rancher
TYPE
7. OF
WORK
I NEW
Y" BLD.
❑ ALT.
❑ PLMB.
❑ AD'N.
❑ MECH:
❑ RPL.
❑ M.H.
❑ MVE.
❑ POOL
El OTHER
No. Baths
No. Floors
No. Rooms
Rec.
CERTIFICATE
of EXEMPTION
Req'd.
Rec'd.
Not Req'd.
PERMIT NUMBER
7i/5
DATE
DESCRIBWORK
' v
VALUATION
9. LIS
Sodree
of
Utilities
GA
C Ute`
ELECT WIC
x
WATER SEWER
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
to give authority to violate or cancel the provisions of any other state or local law reg ating co
performance of construction.
DATE SIGNATURE
DEPT.
SPECIAL APPROVALS
REQ'D. REC'D.
Env. Health
Planning
Y2x(//3/7 7
Fire Marshall
Co. Engineer
Utilities
Zone Clearance
SEPA Checklist
FEES COLLECTED
Single $
SPECIAL CONDITIONS:
•
DATE/i--nOFFICIAr.��( /(
APPROVED FOR ISSUANCE
Plumbing
Mech.
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL $
02* *27800
*27800
*278.00
B *0.00 8
781.42
11-14-79
2 6.479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
1'1-`l4'-79 781.52 *278.002
0
U
W
341,`0
` -----fir-- ! Z'
I II
1 1 1
1 r r
1
I
4,
1
1 1
1 r
1
I 1
1 1
1
4it
L4 Iii 44.1; e S
�AAv+ 4 041 441;1100#1
Zfr s- 41 vz O
Sc4 l0 r= 141
,
--4---. 1 `! !
13vw NS "Rd.
-4- 2z1-6 If
4 it
z-6