1979, 08-15 Permit: 79-2089 ResidencePLA NUMBER
APPLICATION/ PERMIT
SPOKANE COUNTY — BADINb CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
VALUATION Source ELECTRIC WATER Slincluded
9. utilities 0/4 F,A S
I hereby certify that I have read and examined this application and have read the "NOTICE" provisioon reverse side, and know the same to be true and correct. All provisions of laws and ordinances gotype of work will be complied with whether specified herein or not. The granting of a permit does nto give authority to violate or cancel the provisions of any other state or local law regulating constru
performance of construction. _
7//.�JI� , �Q
DATE 979 SIGNATURE /
� A
SPECIAL APPROVALS
DEPT. REQ'D. RECD.
Env. Health
E-
Planning
Fire Marshall
Co. Engineer
Utilities
Zone Clearance
SEPA Checklist
Single $
Building 4-5�
Plumbing
Mech
SPECIAL CONDITIONS:
,/W �od I Plan Check
BLDG toCAISP AT 3-71! E STH AVE- SEPA
sE.-r 1304P, RE SWr-t cE cl- WAGE ON
sWv- PARCEL of k. ANR
PERMIT NUMBER
'll"t
DATE
02/* *4500o -
A #®®
121,1: *10,00'6
B 07-21-40
23.4# 6479,
07-09-79
g 6,479:
Mobile Home
5PEc/AL.
/ N5PE-Crok of
Other (Specify)x
TOTAL $
WHEN MACHINE VALIDATED IN THI
THIS B C�MES A PERMIT.
DATE /3- OFFICIAL - l 5 - 7 9
PACE,
,)'S.9 *55.001'
APPLICANT:
COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 4 COPIES
1.
JOB ADDRESS
S.
LEGAL DESCRIPTION — SEE ATTACHED
LOT
BLOCK
PARCEL NUMBER/S
2.
3
I 9
rUBUIVI510li
E S-fW
q -
.23531-- O 9 0q -
OWNER
OWNER
PHONE
3.
— S
ADDRESS
ZIP
Required Set Backs in Feet
S
North South
East West
CONTRACTOR
PHONE
Size of Parcel
Zone Classification
S
75 27. ` X 9
R1GU tl AL-- SUB
4.
ADDRESS
ZIP
Type Const.
Occupancy
Sprinklered
V -N
I R'3
Dyes ❑No ❑ Req'd.
DESIGNER
PHONE
Valuation
Building Area in Sq. Ft.
8 3 5 -
5.
ADDRESS
ZIP
OWL Area
Basement Area
Garage Area
Storage
8 35"
S3-9
—
—
CHANGE OF USE FROM
TO
Split Entry
Split Level
Rancher
6.
--
j
TYPE
1:1 ALT.
❑ AD'N.
1-1 RPL.
�V
OW
Li�I�IVE.
No. B the
�
No. Floors
No. Rooms
3
Rec. Room
7
OF ,❑., �NEW
El OTHER
W15-
ILrBLD. ❑ PLMB.
❑ MECH:
ElM.H.
ElPOOL
CERTIFICATE
Req'd.
Rec'd.
of Req'd.
WORK
of EXEMPTION
DESCRIBE WORK
8
P- *-S I p I E t4 C� r
N
FEES COLLECTED
VALUATION Source ELECTRIC WATER Slincluded
9. utilities 0/4 F,A S
I hereby certify that I have read and examined this application and have read the "NOTICE" provisioon reverse side, and know the same to be true and correct. All provisions of laws and ordinances gotype of work will be complied with whether specified herein or not. The granting of a permit does nto give authority to violate or cancel the provisions of any other state or local law regulating constru
performance of construction. _
7//.�JI� , �Q
DATE 979 SIGNATURE /
� A
SPECIAL APPROVALS
DEPT. REQ'D. RECD.
Env. Health
E-
Planning
Fire Marshall
Co. Engineer
Utilities
Zone Clearance
SEPA Checklist
Single $
Building 4-5�
Plumbing
Mech
SPECIAL CONDITIONS:
,/W �od I Plan Check
BLDG toCAISP AT 3-71! E STH AVE- SEPA
sE.-r 1304P, RE SWr-t cE cl- WAGE ON
sWv- PARCEL of k. ANR
PERMIT NUMBER
'll"t
DATE
02/* *4500o -
A #®®
121,1: *10,00'6
B 07-21-40
23.4# 6479,
07-09-79
g 6,479:
Mobile Home
5PEc/AL.
/ N5PE-Crok of
Other (Specify)x
TOTAL $
WHEN MACHINE VALIDATED IN THI
THIS B C�MES A PERMIT.
DATE /3- OFFICIAL - l 5 - 7 9
PACE,
,)'S.9 *55.001'
I.. _ - x3'
JTE:D
le Dept.
1 •
k P 2a-Pnsr.,�
GaRAen T—Z -t
SH OR 195oi�
k
I