1979, 09-18 Permit: 79-4178 Addition, RemodelPL/ N NUMRLR
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-- -
1.
2.
JOB ADDRESS
E. 7 2 -hi
LOT
B OCK
"AR-LISLE-STRIF�T
LEGAL DESCRIPTION--SEE.AT-TACHED _
SUB OI V I ION
OWNER
3. JULIA E MooRRE
ADDRESS
E_-122ti' GAR4LISLt S- REs`T.
CONTRACTOR - - - - -
4. SME
ADDRESS
PHONE
32"7-661/
ZIP
R9zoG.
PARCEL NUMBER/S 12,531_.6.2.3z
2531-6232
PTN aF-3Lockc 15--/6,_N- Ibo'-UF- E Z
of pLouc Is, F.1 /6o' of W4 of St.xlc 16
F-D6FICTON IST A-DorneA/
Required Set Backs In Feet
North (South
East (West
PHONE- -
Size of Parcel- -
120' It I SQ
— Zone Classification--
Ae,21cburaftAL- SLA B
ZIP_
Type Const.
V—n(
Occupancy
1-3
_. Sprinklered
❑Yes ❑No ❑ Req'd.
5.
DESIGNER
PHONE
ADDRESS
ZIP
I,aluation
o -. ..
/Loo rtX.
OWL Area I Basement Area
Pio
Building Area in Sq. Ft.
860
Garage Area
- 720
Storage
CHANGE OF USE FROM
6.
TO
Split Entry
Split Level
Rancher
7.
TYPE
OF
WORK
❑ NEW
• LJ(BLD.111
❑ ALT. LKAD N. 0 RPL. 0 MVE.
PLMB.- ❑ MECH. 0 M.H. 0 POOL
- cIAEPLACC E406T P4400 12EMoPEL.
8.
DESCRIBE WORK
0 OTHER
No. Baths
No. Floors
No. Rooms
Rec. Room
- -CERTIFICATE -
of EXEMPTION
--Req'd.
Re 'd.
Not Req'd.
A17bM0N 0-F 4 bF_Gr A-It1A D/nil NC7 Rno1�of PISS) DETACHES) & P E�f cigi
VALUATION • • Source GAS Y/ ELECTRIC I WATER I SEWER
9. */17/DOf)�'Xj' Utilities GXISTf/JC.,
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
SPECIAL APPROVALS
DEPT. REQ'D.
REC'D.
SIGNATUR
Env. Health
9/1479
Planning
Fire Marshall
Co. Engineer
Utilities
Zone Clearance
SEPA Checklist
SPE AL CONDITIONS:
coNS-Ru.CfloN MOS. -TO OBTA11.1/NE
ro %
IQNLVss /4flu, FrE .8
G FEC
/C(ol00
RPA, 4&
?ESA1T EE r -'vim k7
DATE I --I V-71 OFFICIAL 4.p'ystna )
APPROVED FOR ISSUANCE
FEES COLLECTED — -
Single $
Building 630 la
Plumbing
Mech.
Plan Check
SEPA
Mobile Home
O-WThritiy V o0
ther iSpeciry cr ab,
TOTAL $ /rte kl(
s•,
PERMIT NUMBER
79 - 'f»8
DATE S'EPT / jt/ [979
-02* *8000
_*8000 t
*80006
B -- *000
39942
09-14--79
2 6479.
02* *8000
*p8000
*80.000
B *000 8
-417.72 -
09-18-79
6479
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
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