1979, 08-21 Permit: 79-2531 Relocate ResidencePLAN NUM$EFZ'
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
JOB ADDRESS -
LEGAL DESCRIPTION — SEE ATTACHED
"�, ,� t � �
I -' , �
LOT
BLOCK
SUBDIVI ION
PARCELNUMBER/S
2.
I
At?1>
02* * 1 0.00
10,00
to
OWNER
PHONE
3.
ADDRESS ��� f �G„{ri.
ZIP
Required Set Backs in Feet
/
North 1 South } East West --'
`
CONTRACTOR
PHONE
Size of Parcel Zone Classification
* 1 0, rnCo
�#
D *0,00
v
4'ADDRESS
ZIP
Type Const. Occupancy Sprinklered
Dyes [-]No ❑ Req'd.
3,52
DESIGNER
PHONE
on Building Area in Sq. Ft.
02 * *54.00
* 5 Q 0 0
)(n.
5'
ZIP
Area
Basement Area
Garage Area
Storage
ADDRESS
//"14'
*54,006
CHANGE OF USE FROM
TO
plit Entry
Split Level
Rancher
L
E *0.00
6.
Baths
NoFloors
NoRooms
Rec. RoomTYPE
❑ NEW ❑ ALT.
❑ AD'N. ❑ RPL. MV E.
_2
5 3 0],
OF
❑BLD. ❑ PLMB.
❑OTHERCERTIFICATE
❑ MECH: ❑ M.H. ❑POOL
0H-21 �%�%f
Req'd.
Recd.
Not Req'd.WORK
EXEMPTION
i
6479.
DESCRIBE WORK
_ FEES COLLECTED
8.
GAS'ELECTRIC WP4TER SEWER
VALUATION f Source
of r
9, utilities
I hereby certify that I have read and examined this application and have read the "NOTICE" provisions injthis
on reverse side, and know the same to be true and correct. All provisions of laws and ordinances governtype of work will be complied with whether specified herein or not. The granting of a permit does not pto give authority to violate or cancel the provisions of any other state or local law regul ting con uction
performance of construction.
DATE _,/ - : t Z - SIGNATURE
O= .647—as
SPECIAL APPROVALS
DEPT. REQ'D. RECD.
Env. Health /' /j
42
Planning
Fire Marshall
Co. Engineer
Utilities
Zone Clearance
SEPA Checklist
SPECIAL CONDITIONS:V
Y �
ltv�/ i
�• •'
% r,�►
Single $
Building
Plumbing
Mech.
Plan Check
SEPA
Mobile Home
"a L�
Other (Specify)
TOTAL $-�
WHEN MACHINE VALIDATED IN TH
THIS BECOMES A PERMIT.
08 21-79
i SPACE,
253,12 *5400°
0
T
i
0
OFFICE OF TRE
SPOKANE COUNTY PLANNING DEPARTMENT
Date 11911
fo _ Building Codes Department
From Planning Department ____ --
Subject__
_Subject_ Building__ Permit
The Planing Department has received a request from
�, for the release
of a building If permit o the property as described on
the attached affidavit/legal description. It has been
determined that a building permit should be issued
under the provisions of RCW 58.17.210. This memo
and attached affidavit/legal description must accom-
pany the building permit application.