1979, 10-29 Permit: 79-6885 ResidencePLAN NUMBER
APPLICATION/ PERMIT
PERMIT NUMBER
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
DATE
APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 4 COPIES
Q2*' �'�7�00
JOB ADDRESS
' 1
-�
LEGAL DESCRIPTION - SEE ATTACHED
1.� y�
*27R00
LOT
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S-UQDIVIS-1QFN
PARCEL NUMBER/Soar-���v�
2. t0
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*27a0001
*0001
NER
PHONE
3.
''- i/Z-x..8
6 8 a 4;t
ADDRESS
ZIP
Required Set sacks in Feet
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w
e, YL-, tNL�-tk
'� ""1
North South, East /� / West�� /
10-29-79
C N RACTOR
PHONE
Size of arel
Zo a CIassifI tion
p �4o
, •
f 6479.
4. ADDRESS
ZIP
Type Const.
Occupancy
Sliprinklered
k..�
❑Yes []No ❑ Req'd.
\
DESIGNER
PHONE
Valuation GO
Building Area in Sq. Ft.
5.
9 Gae)
7ff
-
ADDRESS
ZIP
DWL Area /
Basement Area
Garage Area Storage
CHANGE OF USE FROM
TO
Split Entry
Split Level
Rancher
s.
x
TYPE ( NEW 1:1ALT. ElAD'N. 1:3RPL. 11MVE.
No. Baths
h
No. Floors
%
No. RoomsRec.
Room
—�
7, OF
11 OTHER
CERTIFICATE
Req'd.
Recd.
Not Req'd.
WORK ❑ BLD. ❑ PLMB. ❑ MECH: ❑ M. H. ❑ POOL
of EXEMPTION
DESCRIBE WORK' �
8 J -j-'a
�
FEES COLLECTED
��,
VALUATION Source
GAS ELECTRIC WATER SEWER
! if
9. !� D <t4 ' 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 state or local law re ulating truction or the
Plumbing
performance of construction.
j
q
�C� -���- �/
/,
DATE
SIGNAL"' Mech.
SPECIAL APPROVALS
SPECIAL CONDITIONS:
DEPT. REQ'D. RECD.
L Plan Check
Env. Health
(/
SEPA
C= C:)
Planning
(-
C3
- w
2
Fire Marshall
Mobile Home
rn
Z
Co. Engineer
Other (Specify)
Utilities
dQ
78
TOTA L $_
Zone Clearance
)P1-/fin±$ Ol= 60-2,6-7,j WHEN MACHINE VALIDATED
IN THIS SPACE,
SEPA Checklist
THIS BECOMES,A PERMIT.
10 T'-,7 7
6
80, 5 Z 2,/ 00
OFFICIAIjL
,
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