1979, 08-10 Permit: 79-1973 Residencewww
PLAN NUMBER
e-35-
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 yy���� I�,�,� rte
2. 1 r LOT LOCK I SUFp i ISION
No ' Jb & 1 I 1 .
LEGAL DESCRIPTION - SEE ATTACHED
OWNER
LP2co l; GD. INC.
ADDRESS
CONI)it
PH NE
ZP� 7317
PHONE��.
PARCEL NUMBER/S
09549—O7°3
Required Set Backs In Feet
North 5O 'South 30 East IZ 'West 4-
9
Size of Parcel
11
Zone Classlricatl0�
'Ton gra
sslfic on
ADDRESS
ZIP
DESIGNER
6' ADDRESS
PHONE
ZIP
Ty7 COns
Valuation
CHANGE OF USE FROM
6.
TO
Occupancy Sprinkleretl
Ij�j`�33 ❑Ves ❑No 0 Req'd.
OWLArealeas. emenj.Arra,
G/SSplc!O/Li�
SplitEntryI .tl/NlSpiftl1 Level
Building
gAArea In Sq. Ft.
lICO°
Garage Area
Storage
Ranche
TYPE
7. OF
WORK
Vi.NEW 0 ALT.
BLD. 0 PLMB.
❑ AD N.
O MECH:
❑ RPL.
❑ M.H.
❑ MVE.
I] POOL
0 OTHER
NO. Bath
No. Floors
No., Ryoms
Rec. Room
CERTIFICATE - -
of EXEMPTION
Req'd.
Recd.
Not Req'd.
•
DESCRIBE WORK
VALUATION
9. 2-51 000
Source
of
Utilities
GAS
SEWER
y�G
I hereby certify that I have read and examined this applica ion 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 regul• g constructin`r the
performance of construction.
DATE •(`t'1.^��
DEPT.
SPECIAL APPROVALS
REQ'D. REC'D. •
SIGNATUR
Env. Health
7//Y/7 9
Planning
Fire Marshall
Co. Engineer
Utilities
Zone Clearance
SEPA Checklist
SPECIAL CONDITIONS:
Merl J 1711% 01J
`jV&1EOi. T RecievC Cogito,-et Cpre;t
8-8->T JYT7
DAT
OFFICI
APPRO 1 OR ISSUANCE
FEES COLLECTED
Single
Building
Plumbing
Mech. •
Plan Check
SEPA
Mobile Horne
Other (Specify)
TOTAL $
s•,
PERMIT NUMBER
�9— \t7
DATE 02* '' *5Q00
*5Q00 tz
*5Q006
E *GOO 5
197.21
.08-10-79
6479. ,
WHEN MACHINE VALIDATED IN THIS SPACE,
TH ISRCO,TF a p1MIT.
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