1979, 09-28 Permit: 79-4925 AdditionDEPT.
Env. H lth)—
Planning
Fire Marshall
Co. Engineer
Utilities
Zone Clearance
SEPA Checklist
SPECIAL APPROVALSI SPECIAL CONDITIONS:
C
REQ'D. RED.
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL $ /7D`SU
P' ) WHEN MACHINE VALIDAT
THIS��LL u� COME,$ f1 PEPMIT.
�.
DATE �' �� OFFICI��-�� ! � ��i GC �-
n000nvcn Mn icciiAriAr
PERMIT NUMBER
DATE
02* * 1 7 0,5 0
* 1 7 a15 0 N
* 1 70,5010
E. *0,00
492.42
09-2%B-79
6479.
w
0
IN THIS SPACE,
C.Sr *170.50.°
PLAN NUMBER
APMIOATION/PERMIT
2�G
SPOKANE COUNTY - BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 4 COPIES
J B ADDRESSy_� ,
LEGAL DESCRIPTION — SEE ATTACHED
� O
LOT
BLO K
S B hV SION
PARCEL NUMBER/S
2.
OW ER
PHONE
yf �`y'--
, %
/?OTCH FORD AdROS
3
ApDRESS .7
ZIP
Required Set Backs in Feet
/
t t✓ –t
'
�%�5
North f South�2/ East �37 WestoZ.• ,-S''/
CO T ACTC)R
PHONE
Size of Parcel
Zone Classification
4• AD R
ZIP
Type Const. Occupancy
Sprinklered
I
❑Yes ❑No ❑ Req'd.
DESIGNER
PHONE
Valuation
Building Area in Sq. Ft.
5• ADDRESS
ZIP
DWL AreaBasement
Area
Garage Area
Storage
/2
CHANGE OF USE FROM
TO
Split Entry
Split Level
Rancher
6.
TYPE EkNEW ❑ ALT. X AD'N.
No. Baths No. Floors No. Rooms Rec. Room
❑ RPL. ❑ MVE. -� l
�J, OF
OTHER
❑ BL. El PLMB. ❑ MECH:
M. H. ❑ POOL CERTIFICATE Req'd. Recd. Not Req'd.
WORK
of EXEMPTION ly
I
DES RSB WORK
n FEES COLLECTED
ALUAI ION Source
GAS ELECTRIC WATER SEWER
���j of
9 Di 'y Utilities
Single $
I hereby certify that I have read and examined this application and have read the "NOTICE" provisions included Sd
on reverse side, and know the same to be true
and correct. All provisions of laws and ordinances governing this Building L71�
type of work will be complied with whether specified herein or not. The granting of a permit does not presume
authority to violate or cancel the provisions
of any other state or local law regulating construction or the
to give
performance of construction.
Plumbing
DATEg
SIGNATURE 'r ' L Mech.
DEPT.
Env. H lth)—
Planning
Fire Marshall
Co. Engineer
Utilities
Zone Clearance
SEPA Checklist
SPECIAL APPROVALSI SPECIAL CONDITIONS:
C
REQ'D. RED.
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL $ /7D`SU
P' ) WHEN MACHINE VALIDAT
THIS��LL u� COME,$ f1 PEPMIT.
�.
DATE �' �� OFFICI��-�� ! � ��i GC �-
n000nvcn Mn icciiAriAr
PERMIT NUMBER
DATE
02* * 1 7 0,5 0
* 1 7 a15 0 N
* 1 70,5010
E. *0,00
492.42
09-2%B-79
6479.
w
0
IN THIS SPACE,
C.Sr *170.50.°
Z
�ill' .GIIP/L
L4ME21ck PP tVE.
0