1979, 10-16 Permit: 79-6098 CarportPLAN NUMBER
APPLICATION/PERMIT
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
PERMIT NUMBER
-7,- C0,0
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675 DATE
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 4 COPIES
JOB ADDRESS
i.E /930c ,UlxO(
LOT BLOCK SUBDIV S ON
LEGAL DESCRIPTION — SEE ATTACHED
OWNER
a (Ai/ Lt4 .JoNNs
ADDRESS
e 306 N /Xo.0
PHONE
126- 3Z8t
PARCEL NUMBER/S
17553 — l 40� for la IvK -al
G unPes unu-EY s ta
�nlD
ZIP
Required Set Backs in Feet
/
North -13
CONTRACTOR
4.
PHONE
Sssb3
Size of Parcel
907/30'
ADDRESS 7±211
/ Co
ZIP`
-LZ7��O
--Tywpe Const.
/ 'M��
DESIGNER
6. ADDRESS
PHONE
Valuation
ZIP
South %9
Occupancy -
TZ -3
Basement
Area
East 7 /
'West
Zone Classification
6421
-- -
Sprinklered - ---
I]Yes ❑No
Building Area in Sq. Ft.
DWL Area I Garage Area
Storage
CHANGE OF USE FROM
6.
TO
Split Entry
Split Level
l
Rancher
TYPE
7, OF
WORK
NEW
❑ BLD.
❑ ALT.
• PLMB.
El AD N.
❑ MECH:
❑ RPL.
❑
M.H.
MVE.
❑ POOL
DESCRIBE WORK
8. CA�Po�%— CC •r ea ur�P.0 rp.
GAS
gdov of
izso
VALUATION Source
r Utilities
0 OTHER
No. Baths
No. Floors
No. Rooms
Rec. Room
CERTIFICATE
of EXEMPTION
Req'd.
ELECTRIC
WATER
SEWER
1- 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 correc . All provisions of laws and ordinances governing this
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 p.ilocaLlaw regulating constructign pr the
performance of construction.
DATE
- 29
SIGNATURE
DEPT.
SPECIAL APPROVALS
REQ'D. RECD.
Env. Health
Planning
(et 7/2 VI
Fire Marshall
Co. Engineer
Utilities
Zone Clearance'
SEPA Checkllst
SPECIAL CONDITIONS:
DATE 1*(19
r
OFFICI
APPRFOR ISSUANCE
Recd.
Not Req'd.
FEES COLLECTED
•
Single $
/
Building 7
Plumbing
Mech-
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL $/7
SO
02* *1 7.50
*.1750
*1.7.506
E *000 8
609.72
10-16-79
2 64 7 9.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS B CO E rA MIT.
ly7,i� 6,-1/19 6' Z *17.5.0
o.
r•
J
1
/tVC
jig
Ex/sr/A1 t-
REc510.6A/A
_ 1 1
•
9
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