1979, 09-04 Permit: 79-3342 ResidencePL4N NUMBER APPLICATION/ PERMIT
13,
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 ADDRESS RI -9— rnw
LEGAL DESCRIPTION — SEE ATTACHED
LOT I BLOCK- ISUBDIVISION PARCEL NUMBER/S
A pO,t7� OAP 00 OV WZ -1fPS'
OWN R P O E
3. X
AD ESSLL ZIP Required Set Backs in Feet '
I �ra �{/ North , South East West
CONTRACTOR HONE Size of Parcel Zone Classification
a. •./�� s of ��
ADDRESS ZIP Typeloonst. lbccupallhcy Sprinklered
❑Yes JWNo ❑ Req'd.
DESIGNER
'. ADDRESS
PHONE Val tion 04 Building Area in Sq. Ft.
ZIP DWL Area Basement Area Gara Area Storage
DO
CHANGE OF USE FROM
TO'Split
Entry Split Level
Rancher
6.
TYPE NEW ❑ ALT. ❑ AD'N. ❑ RPL.
❑ MVE.
No. Bat s
4
No. Floors
No. Ro ms
Rec. Room
7, OF
❑ OTHER
C R FICATE
Req'd.
Recd.
Not Req'd.
WORK rM(B ❑ PLMB. 11MECH: ❑ M.H. El POOL
E of EXEMPTION
ESCRI WORK 0010P
J
/
6
FEES COLLECTED
8.
NAW L ONJQ ,
e. -G_ IS
VALUATION
Source
GAS
ELECTRIC
WATER
ER
9. +'
of
il
utities
"'
Single $
1 hereby certify that I have read and examined this application
and have read the "NOTICE" provisions included 01�7`/
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 regu ating construction/ r the
performance of construction.
Plumbing
DATE l /�^ ?�
SIGNATURE
_Z07
� �
Mech.
SPECIAL APPROVALS
SPECIAL CONDITIONS:
DEPT. REQ'D. RECD.�+�e
Env. Health
Plan Check
Planning
SEPA
�O I�
Mobile Home
Fire Marshall
Co. Engineer
Other (Specify)
Utilities
Zone Clearance
SEPA Checklist
DATE ." OFFICIAL.�i
TOTAL $
WHEN MACHINE VALIDATE
THIS BECOMES A PERMIT.
0 9 -0 4 79
/-7 PERMIT NUMBER
DATE
02* *8200
*8200
*8200
A *0,00 z
3341
09-04-79
2 6479.
S SPACE;
l42 *82000_I
-A -/"COPPER WAT.ER VNE
-8-3/v"WATER METEK
TRACT $" 5/H0RT PLAT 79-OQ
PARCEL NO. A R7MW OF OWV-1905
F` OT PLAN
SCA" /n= so•
'IVE4IAY
OWN EO
4D INC.