1979, 08-31 Permit: 79-3230 ResidenceLAN NUMBER
JOB ADDRESS
1. C-1-1 1:�- 13 /
M
4.
OO E /
ADDRESS
3 zza!z
i
CONT
ADHD R
DESIGNER
5. ADDRESS
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
' ? C LEGAL DESCRIPTION — SEE ATTACHED
SUBDIVISION PARCEL NUMBER/S �7,
Ca,
PHONE'�-
ZIP Required Set Backs in Feet
dam% North South East West
PHONE Size of Parcel Zone Classification
ZIP Type Const. I Occupancy Sprinklered
❑Yes [-]No ❑ Req'd.
PHONE Valuation Building Area in Sq. Ft.
ZIP OWL Area Basement Area Garage Area Storage
r
CHANGE OF USE FROM TO Split Entry Split Level Rancher
6.
No. a s No. Floors No. Rooms Rec. Room
TYPE E] NEW El ALT. ❑ AD'N. F-1 RPL. ❑ MVE. >>
7 WORK 1:1BLD. ElPLMB. ElMECH: ❑ M.H. El POOL OTHER CERTIFICATE Req'd. I Recd. Not Req'd
of EXEMPTION
QJESCRIBE WORK
8 — f - FEES COLLECTED
VALUATION Source GAIS ELECTRIC WATER SEWER
of
9, Utilities Single $
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 Building
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 sta or local law regulating construction or the
Plumbing
performance of construction.
DATE Y-v3l 7� SIGNATURE
Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS:
DEPT. REQ'D. RECD. ) Plan Check
Env. Health �ZL� �✓C�.�
SEPA
Planning
Fire Marshall
I �� �;L,i /per y - L� Mobile Home
Co. Engineer Other (Specify)
Utilities do
TOTAL $�.�
Zone Clearance
SEPA Checklist
PERMIT NUMBER
7c7—C-
DATE 9-31-
0 2
—3/-02* *4800
*4800
WHEN MACHINE VALIDATED IN
�n jn, /�( THIS�ECOMES,A PERMIT.
DATE(?—Z/-7 OFFICIAL ��/ //'/J1.104� (O,� 11 / 7
*480006
E *000
3229
08-31-79
;9 6,479,
SPACE,
}.uc.3 *48.00°