1979, 08-15 Permit: R-104 ResidencePLAN NUN,j ER
APPLICATION/ PERMIT
PERMIT NUMBER
'
0
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
02* *70.00
* 7 0. 0 0 N
JOB ADDRESS, � � I
309, Logo &WW
LEGAL DESCRIPTION -SEE ATTACHED
7 Q O O v
iISUBDIVISI
BL
CK
-ON
P ARCEL NUMBER/S 01 5d-] -04-1
z
E *Goo v
OWNER
P
3
IOONE
Zp F
2 2 1.7;o
ADRE
S
Required Set acks in Feet
j
j
North �South4zi East 14iWest8
—15-79
CONTRACTOR
PHONE
Size of Pa el
��
Zo
a CI ssification,
0
-3�
9 6479,
4' ADDRESS,
ZIP
Ty fl Const.
Occfupancy
SSprinklered
�i�
'�_
❑Yes No ❑ Req'd.
DESIGNER
PHONE
V luation
^ J
Building A ea in Sq. Ft.
5.
-
ADDRESS
ZIP
OWL Aa
Basement , rea Ga age Area
Llj
ty/v�'7 ;SSpli+Level
Storage
CHANGE OF USE FROM
TO
S li Entry
Rancher
6.
7y
JE4y
y
,�.,/�
TYPE L`i NEW ❑ ALT. ❑ AD'N. ❑ RPL. ❑ MVE.
No. Baths
No. Floors
No. Rooms
<=
Rec. Room
7, OF_/
❑OTHER
�r
Req'd.
Recd.
Not R@q'd.POOL
WORK BLD. ElPLMB. 1-1MECH: 11M, H.
❑
CERTIFICATE
of EXEMPTION
DESCRIB
Ej WORK
8
/^
^ �
' '
FEES COLLECTED
VA ATI N—✓
Source
GA
ELECTFjFC
WATE
�
SEWER
9. 1`50of
Utilities
4/1` „r-
0
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 regulating construction or the
performance of construction.
Plumbing
9 7f
0CLA-"',)��
DATE
SIGNATURE _ Mech.
SPECIAL APPROVALS
SPECIAL CONDITIONS:
DEPT. REQ'D. RECD.
Plan Check
Env. Health
SEPA
i--
Planning
Fire Marshall
Mobile Home
a.
Z
Co. Engineer
Other (Specify)
Utilities
!!JJ,//����C�.��
TOTAL $�
Zone Clearance
IN THIS
SPACE,
/ WHEN MACHINE VALIDATED
SEPA Checklist
THIS CO MIT.
ffOl�A 7
yOFFICIA
221,81 *70,000oi
DATE
r-
, „. • •
,, •
' • •-••• ...• •
• ,. .• • " • •'. • .„ • • • ,
,, • . • ,
, .
Loy:_.: .1 1 'J.:. .47. /to rios 4OtP�ta--a-•
. .
.... ..„ - .
SROSAkJ
iv Ty
- - .
. •
12
- • . 14 • - J. ,
• „
-• ,
..• •••:: :-..„
.— • Cj4.''•••11:-..±.7.•!•:::::' '
•
•-•7,7:-. -27t.•:••-;:7::.•••.•17 7 ••• •••-• 27.'7 ." :•- 7 • : ' -
• 77 • 7: a . •;!••
77. 7 •'''7•77:•••H117:,.•:•1•1:77:1•••[:`•:•.:71.."I.7...
• \ • • • • : -•••—••• •
• -
, „ , . •
. „ , , •
, , , - •
• •• • • . „ • • • ,
.1
• • .
„, ' , • .
, .
. . -
' , . . ' •
• ,
. - • • . ' ' - • -
REVISIONS ,
, • , • .
dmistioN--
,, • '``. r ,...„
2 '
3
- 7:-'•51461< E.;'/WAV ,
- -- 77512
• --,•••-•.-
--„•••••••- .
CHECKED•-• DATE