1979, 08-28 Permit: 79-2966 ResidencePLAN NUMBER
;\ _—
APPLIMTIONI/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 ADDRE
S
N 6 , E i IC9a0
LEGAL DESCRIPTION - SEE ATTACHED
LOT
2.
BLOCK
SUBDIV
O NER
ADD ESS
INS -JoH off_ cotns
n
D oR-Oi NII-ri
ADDRESS
PIONL-9223
PARCEL NUMBER/5
"112,1 T c �Nz Zt PLAI
Required Sr B1cks In Feet
North -32.-6r (south%Ci
!East .2-Z
est I (]
H NE
Size of Parcel
135 x IDS
Zone, Classifi cation
ZIP
Type Const.
Occupancy
Sprinklered
❑Ves f� No 0 Req'd
DESIGNER
PHONE
ADDRESS
ZIP
Valuation
4h
DWL Area
etin
Building Area in Sq. F
2-0
Basement Are
�.oD
Garage Area
Storage
CHANGE OF USE FROM
6
TO
Split Entry
Split Level
21— IIID—t`u
LM
Rancher
TYPE 0 N w
7. OF
WORK (b LD.
❑ ALT.
❑ PLMB
❑ AD'N.
❑ MECH.
❑ RPL.
❑ M.H.
❑ MVE.
❑ POOL
0 OTHER
NoBaths No. Floors
PZ
No.
Rec. Room
CERTIFICATE
of EXEMPTION
Req'd
Recd. Not Req'd.
DESC BE
8. rl
VALUATION
9.
OR`IVq L�
``0 00 °
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 correc . 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 regulating-cl7�lstructiop or the
Source
of
Utilities
GAS
ELECTRIC
WATER
115I4C
SEWER
SIG
performance of construction.
DATE
47-Z3 7
SIGNATURE
SPECIAL APPROVALS
REQ'D. REC'D. •
Env. Health
Planning
Fire Marshall
Co. Engineer
Utilities
Zone Clearance
SEPA Checklist
SPECIAL CONDITIONS: VJ`w
DATE `/( Z/Z,OFFICIAL `
APPROVED FOR ISSUANCE
FEES COLLECTED
Single $
Building Toa
00
Plumbing
Mech.
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL $
— -r
PERMIT NUMBER
19 - 2762'
DATE
02* *6200
*6200 in
*62006
A *Q00 s
29653
08-28'-79
3 6479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
0'8:,218=79
C
1-
0 0
W
z
29'6,'6 z. *12.00i,
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1
•
1
•••
47,11,1Nt
WA11)f
26'1
/ 2 x
—
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c T !:),.7 -C140 't -
'id ::!"444.7VS ry coNTR•
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