1979, 09-26 Permit: 79-4772 FourplexPl-AN NUMBER APPLICATION/PERMIT
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
APPLICANT:
COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 4 COPIES
JOBDRES1
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LEGAL DESCRIPTION — SEE ATTACHED
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ADDRESS
ZIP
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BL K
BDI ISI C (LP
Ad)
2L-9700 , i
9700,37
PARCEL NUMBER/S �0 3 _ �0 1
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2.
O$No ❑ Req'd.
DESIGNER
ff
Valuat- n„
Build" Ar in Sq. Ft.
OWNER
/
PHONE
WORK
ADDRESS
ZIP
DWL Area Basement Area
ADDRESS
Storage
ZIP
Required Set Backs in Feef
North o� j , South -5�3 East IWest D
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OZI-N- q
Size of Parcel
Split Level
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ADDRESS
ZIP
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TypeACo�nst.
OccupancySprinklered
No. Ba hs
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2L-9700 , i
9700,37
I,
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O$No ❑ Req'd.
DESIGNER
PHONE
Valuat- n„
Build" Ar in Sq. Ft.
Not Req'd,
� BLD. ElPLMB. ❑ MECH: ❑ M.H. ❑POOL
WORK
ADDRESS
ZIP
DWL Area Basement Area
Garage Area
Storage
D SCRIBE WORK
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--
PERMIT NUMBER
77- q--7-72—
DATE SPT. 2 ,"
02* *4000;
*40000
*40(00-
B * cc 0 <))
477.1
09-26-79
2 6479
CHANGE OF USE FROM
TO
Split Entry
Split Level
Rancher
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TYPE )9- NEW El ALT. ❑ AD'N. ❑ RPL. ❑ MVE.
No. Ba hs
No. Floors
No. Roo s
Rec. Roo
7, OF ElOTHER
CERTIFICATE
Req'd.
Rec d.
Not Req'd,
� BLD. ElPLMB. ❑ MECH: ❑ M.H. ❑POOL
WORK
of EXEMPTION
D SCRIBE WORK
FEES COLLECTED
8. cv o ur _
VALUATION pa
Source
GAS
ELECTRIC
SEWER
�
9.
of
utilities
�..,.
fn �W/A.�TE
lJC/ W
/ L'
Single $
I hereby certify that I have read and examined this application and have read the "NOTICE" provisions included
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on reverse side, and know the same to be true and correct. All provisions of laws and ordinances governing this
Building 7 oa
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 l0 1 w regul ting onstruction the
performance of construction.
Plumbing
DATE / —/D SIGNATURE
Mech.
SPECIAL APPROVALS SPECIA NDITIONS:
DEPT. REQ'D. RECD. %
Plan Check
Env. Heaft Pl el N S� 01�1 44M LL, I !
w
la ter
SEPA
Planni
Z
Fire Mar ah
Mobile Home
Co. n sneer
Other (Specify)
{
Utilities
00
TOTAL $b0 k1�'
Zone Clearance
WHEN MACHINE VALIDATED
IN THIS SPACE,
Checklist r
THIS BECOMES A PERMIT.
-s
DATE OFFICIAL I -( - - -
9 9 —2 679
r
241
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SEPTIC, TZ Nl
VV/ 220 L. FT t