1979, 10-15 Permit: 79-5987 ResidencePLAN NUMBER
APPIiCATION/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
SJOB ADDRESS
I
' LOT 7 BLOCK US BDIVISION
2. —-MIt711,oTAPPr
2 D "AM I�
2 (lam � L ►ori
ADDAR^5 tZ.Z( '
LEGAL DESCRIPTION — SEE ATTACHED
170zfoNJ or33I 4[ V3
CONTRACTOR
lep3
PHONE
PARCEL NUMBER/S
Required Set Backs in Feet
North J 'South 1
East 'West 3 O
Size of Parcel
135 x
Zone Classification
ADDRESS .
ZIP
Type Const.
VN'
Occupancy
MIL
S pprinkler d
Dyes UgLvo 0 Req'd.
DESIGNER
5' ADDRESS
PHONE
Valy6tlon
ZIP
CHANGE OF USE FROM
6.
TO
Building'Area in Sq. F
coo aor��
DWL Area I Basement Area Gar Area
*SIBS
SSpplit Entry •4((�) S 5 lift t Leyeel 76
PERMIT NUMBER
-Ft -5257
DATE
012,* ' •* 2.950 0
*29500
*295'008
E '* Q0 0
59&5&
1'5'-79
2 6479.
:7 13624 -
Storage
Rancher
TYPE
7. OF
WO PoK
L'J N 0 ALT. 0 AD N. 0 RPL. 0 BLD. 0 PLMB. 0 MECH. 0 M.H. 0 POOL
0 OTHER
No. Baths
No. Floors
No. Room
Rec. Room
CERTIFICATE
of EXEMPTION
Req'd.
Re d.
Not Req'd.
8. DESCRIBE
�j IgEWO r•F'���-nc I"1I IX LAI/ Atm'ty `'Y` '`�1'1�/
VAA_UUAT��jJON Source GAS ELECTRIC��hW MATER
SEWER
9, 3i (/�� Utilities I IJKNJ . f Irvi ✓{c
1 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 g.v-. ning this
type of work will be complied with whether specified herein or not. The grantin of a pe ;It doe pres e
to give authority to violate or cancel the provisions of any other state or loc I regula" . ' tion o/he
/ �J►�
performance l .construction. �� �.�
DATE f Q SIGNATURE J
DEPT.
SPECIAL APPROVALS .
REQ'D. REC'D.
Env. Health
Planning
Fire Marshall
Co. Engineer
Utilities
Zone Clearance
_SEPA Checklist
SPECIAL CONDITIONS:
DATE V OFFICIA
APPROVED FOR ISS•AN E
FEES COLLECTED
Single $
Building 24/5
Plumbing
Mech.
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL $ 2-9
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS1991fLglAyErMIT. 5'9 8.6 z 0,2'9 5.0:0 a 1?,
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ARTISTIC CONSTRUCTION- ---
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VERADALE, .WA- 99037 - --
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