1979, 09-24 Permit: 79-4567 AdditionPTL LP°
LOT SU
BDIVI ION
PLAN NUMBER
1- /yid
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
E. /33/G
BLOCK
2.
4.
OWNER
MARX 6,F IiR AAIV
ADORE
LEGAL_DESCRIPTION__SEE. ATTACHED_ �.
eu THRIES vpa EyVFEW -5f—ru A-0 -- -
PHONE
0122- 2322_
-. /3316
CONTRACTOR
s.ME-
ADDRESS _
PARCEL NUMBER/5 /5-/V/ _OIG
PERMIT NUMBER
DATE A bCx 262i 9
CA -TA L—DO SR)KANE
ZI P
R12_/Co
Required Set Backs in Feet
North . 3,5-2 'South 831
East 22f west 2,3
Size of Parcel- SI' X /351
- Zone•Classification--
A6/L1cpLTIdR.A/
ZIP. .
Ty pe_Const.
Y—N
--_Occupancy__
R- 3
Sprinklered
oyes- $Jo 0 Req'd.
DESIGNER
5 ADDRESS
PHONE
Valuation
Building Area in Sq. Ft.
ZI P
OWL Area I Basement Area Garage Area
—260'
Storage
CHANGE OF USE FROM
s.
TO
Split Entry
Split Level
Rancher
X
TYPE D NEW
7. OF
WORK '^' "-D'
0 ALT. D N. 0 RPL. 0 MVE.
❑ PLMB.- 0 MECH:- 0 M.H. - 0 POOL
❑ OTHER -
No. Baths
No. Floors
No. Rooms
Rec. Room
- -CERTIFICATE- ---
of EXEMPTION
- •Reg d.--
- Rec'd.--
Not Req'd.
DESCRIBE WORK
a AvnrrJoN AF ROOMJT-O EXIST/HCS RESIDIEN
VALUATION .
Source
- of
Utilities
GAS
a RArH
WATER
SEWER
E71/6riK6
I hereby certify that 1 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 auttority to violate or cancel the provisions of any otherstateor local law regulating construction or -the --
performance of construction.
.—
DATE
SIGNATURE
DEPT.
SPECIAL -APPROVALS -'- -- - -
REQ'D. REC'D.
Env. Health
- c20--15 voh A41'
Planning
Fire Marshall
Co. Engineer
Utilities
Zone Clearance
SEPA Checklist
/l Lia
-SPECIAL'CONDI /NS:
24w (Do'
FEESCOLLECTED---- —
Single $
Building 4 / *71'
Plumbing
Mech.
N.
DATE E3/ -2L OFFICIALL L -f
APPROVED FOR ISSUNCE
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL $
*3200
—
--*3"9"008
E *900. 8
45662
09=24=79
piCf
WHEN.MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
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