1979, 07-31 Permit: 79-1324 Residence,PLAN NI'MBER
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DESIGWIEF
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
LEGAL DESCRIPTION — SEE ATTACHED
S BDIVI N PARCEL NUMBER/S
PHONE
/� f �f (7��p Required Set Backs in Feet Ql C./�/�' ® O � • North South 4t East West
PHONE Size of Parcel Zon Classification
ZIP Type Const. Occupancy Sprinkl red
❑Yes ❑No ❑ Req'd.
PHONE Valuation Building Area in Sq. Ft.
2�
ZIP DWL..area BasementZ
;4 Gar_ age Area Storage
(79 /l
UHANUL OF USL FROM
TO
I nWt tntry1Split
Level
Rancher
6.
1 O
TYPE NEW
❑ ALT.
❑ AD'N. ❑ RPL. ❑ MVE.
No. Baths
�
No. Floors
Z.
No. Rooms
Rec. Room
—^
7, OF
❑ OTHER
WORK ❑ BLD.
El PLMB.
❑ MECH: ❑ M.H. POOL
CERTIFICATE
Req"d.
Rec'd.
Not Req'd.
of EXEMPTION
DES C IBE WORK
8
�
FEES COLLECTED
&�—GcJ i -J71
V LUATIONSource G S ELECTRIC WATER SEWER
of
9. did utilities Single $
1 hereby certify that I have read and examined this application and have read the "NOTICE" provisions included p
on reverse side, and know the same to be true and correct. All provisions of laws and ordinances governing this Building I� 5
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 locollaw regulating construction or the
perform nce f construction.
Plumbing
DATE / 17 SIGNATURE Mech.
SPECIAL APPROVALS
DE REQ'D. RECD.
Planning
Fire Marshall
Co. Engineer
Utilities
Zone Clearance
SEPA Checklist
SPECIAL CONDITIONS: t
,-4-w�IWv�� /��' Plan Check
SEPA
Mobile Home
�,a�/ Other (Specify)
10— 77
DATE 3/ 9 0FFI
6 PERMIT NUMBER
02* * 1 21.50
* 1 21,50 1 Lo
* 1 21,50
A *0,00 00
13232
07-31-79
;? 6.479.
TOTAL $
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
0�1-31-7° _ j).4c' *12L50?
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4. ---- 'l'r -
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Register No.
RECEIPT
Application No. B c) 9902
Installer SiCS
SPOKANE COUNTY HEALTH DISTRICT
West 1101 College Avenue
Spokane, Washington 99201
456-2340
APPLICATION TO INSTALL OR RECONSTRUCT ON-SITE SEWAGE DISPOSAL SYSTEMS
Register No, t� ���L) _ Date `' ~ Z - 7� Applicaa ion No. B o 9 9 0 2
Owner Address 0 3
a Address/Legal f dA,
Z
Phone / 2 �P en g Description O-�� / �� G1.1
Type No. of
of Use Bedrooms ., Basement? Yes No Sewer Discharge? Yes No
Water Supply: Public (Name) We OR Private Source
Replacement? Yes Fill Approval Date --27-7q Building Sewer Elev. Ft. Below Finished Grade
Septic Tank Length of / Drywell
Capacity 0� Gals. Dispersal Piping (�y Ft. Drywell? Yes Capacity V1 Gals.
Other
Management
Systems? YesNo
(Z.
REMARKS:
No. of
Acres
Flow/Day
No. of
Dwelling Units _, Mgt. Name
Application b v �'-S
Permit Mai{ing yl)r 32-
Applicant *n-_ Address � V G' fl1.P
Application: Approval Date C ';- Expiration Date /
Installation Approved By �__:_.._ Date
Gals.
' 224 --1533
Phone 92'?—'7-5'j