1979, 10-24 Permit: 79-6660 ResidenceCPLAN NUMBER
APPLICATION/ PERMIT
SPOKANE COUNTY - BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
CHANGE OF USE FROM TO Split Entry Split Level R nc r OA
6. 1 1 L/
*PERMIT NUMBER
1 751- 66607
DATE iv�
, ` * 3 4
li v . 00
y
40
665.9
1Q- 4-79
;T 6.[x.79.
,��/'
TYPE L"I NEW ❑ ALT. ❑ AD'N. ❑ RPL.
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 4 COPIES
1.
JOB ADDRESS
-�So , I , ��,
No. Roo ms
Rec. Room
I
LEGAL DESCRIPTION —SEE ATTACHED
], OF —/
BLD. ❑ PLMB. ❑ MECH: ❑ M. H.
LOT
I B_L CK
ISUBDIVISION
SA
PARCEL NUMBER/S rP�XI
V V
2.W
CERTIFICATE
l�
Recd.
Not Req'
WORK
OWNER
PHONE
3.
T
FEES COLLECTED
5 4
VALUATION
("
�� �(0
Source
of
G
ADDRESS (��,x
ELECTRIC
ZIP
���
SEWER
Req"trrte�S t Backs in Fee
U ' IiC.'9
Utilities
North South East West
V�1
CO� CTQFt
Single $
PHONE
I hereby certify that I have read and examined this application and have read the "NOTICE" provisions included
Size of Paiil ��
7Const.
Zone
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
�Classification
4'
ADDRESS
performance of construction.
ZIP
Plumbing
Type
Occupancy
Sprinklered
Mech.
SPECIAL APPROVALS
DEPT. REQ'D. RECD.
❑Yes X0 ❑ Req'd.
SPECIAL CONDITI NS:
���i,�'
DESIGNER
PHONE
Val tionBuilding
5 oD ao
Area in Sq. Ft.
961
5.
ADDRESS
ZIP
OWL ArB asent'lAre
Garage Areq
Storage
CHANGE OF USE FROM TO Split Entry Split Level R nc r OA
6. 1 1 L/
*PERMIT NUMBER
1 751- 66607
DATE iv�
, ` * 3 4
li v . 00
y
40
665.9
1Q- 4-79
;T 6.[x.79.
,��/'
TYPE L"I NEW ❑ ALT. ❑ AD'N. ❑ RPL.
❑ MVE.
No. the
No. Floors
No. Roo ms
Rec. Room
I
], OF —/
BLD. ❑ PLMB. ❑ MECH: ❑ M. H.
❑OTHER
❑ POO L
blur
CERTIFICATE
Req'd.
Recd.
Not Req'
WORK
of EXEMPTION
8 DESCF2.16_e'w K� r
i1M
T
FEES COLLECTED
VALUATION
("
�� �(0
Source
of
G
ELECTRIC
W TTEER
SEWER
9.
Utilities
V�1
Single $
—
I hereby certify that I have read and examined this application and have read the "NOTICE" provisions included
J
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
DATE /
SIGNATURE
Mech.
SPECIAL APPROVALS
DEPT. REQ'D. RECD.
SPECIAL CONDITI NS:
���i,�'
Plan Check
Env. Health
SEPA
Planning
—
Mobile Home
Fire Marshall
Other (Specify)
Co. Engineer
pp
TOTAL $
Utilities
Zone Clearance
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist
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FFI(-IAI l'Y(AAl /
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'LOT FLAN
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