1979, 11-13 Permit: 79-7748 ResidencePLAN NUMBER
- 429
JOB AS
LOT BLOCI
2 O'' j I
3. O I
A DESS
CONTRACTOR
4' ADDR
Zn
DESIGNER
'• ADDRESS
APPLICATION/ PERMIT
SPOKANE COUN7Tir — WILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 4 COPIES
TO
L>!LEGAL
DESCRIPTION — SEE ATTACHED
SUD IVIS O
Vkj
Rod
PARCEL NUMBER/S
c Cy V 4%�
— /X 17
P ON
ZIP
Required Set Backs in Feet
North 0' South
h /,
East 4; = / WesP'�
No. RS�pms
?9
PHONE
Site of Parcel
Zone Classification
ZIP Typ oust. Occupancy Sprinklered
�+J ❑Yes Xo ❑ Req'd.
PHONE Valuation tlu Building Area in Sq. Ft.
f -6-
/0o — > .
ZIP DWL Area Basement Area Garage Area Storage
3 _ Ca `
CHANGE OF USE FROM
TO
Split Entry ir^
�a� Split Level
Rancher
6
TYPE NEW 11 ALT. ❑ ❑ RPL. ❑ MVE.
No. Baths
No. F oors
No. RS�pms
?9
Rec. Room
��� AD'N.
%, OF ////// ❑OTHER
-CERTIFICATE
❑ BLD. ❑ PLMB. ❑ MECH: ❑ M.H. ❑ POOL
Req'd.
Recd.
Not Req'd.
WORK
of EXEMPTION
I
,D,ESCRIBE#YRK /
8• F' E' Sj -71
FEES COLLECTED
S Q'C/(/�
ALUATI
C - a
ource
of
GAS
LECTRIC
/�
WATER
SEWER
9. _,i
utilities
walk/
-
Single $
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 thisBuilding1�
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
r
DATE 11-7- 7 � SIGNATURE
Mech.
SPECIAL APPROVALS
SPECIAL CONDITIONS:
DEPT. REQ'D. RECD.
Plan Check
Env. Health
SEPA
Planning
Mobile Home
Fire Marshall
Other (Specify)
Co. Engineer
Utilities)
TOTAL $-
Zone Clearance
WHEN MACHINE VALIDAi
SEPA Checklist
pL ftS )V-
THIS BECOMES A PERMIT.
-13--`1Ci' OFFICIAL'���n'1'In+d 1.[.11�'Fi�'
1
1'I ~13--79
DATEI1
PEORMIT O NUMBER �19 - -I'I Li8 J
DATE
02* *39700
*39700
*397.001
B *000
774.7
11-13-79
s 6.4.7 9.
774823 *397.00°F'
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