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1979, 08-16 Permit: 79-2290 Residence PLAN NUMBER{ Q APPLICATION/PERMIT PERMIT NUMBER I F 919 SPOKANE COUNTY — BUILDING CODES DEPARTMENT 2 ti 2`7d NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509) 456-3675 DATE 2-'-)� o /9 APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 4 COPIES 0 2* *7 Q 0 0 1 JQ,p ADtf D ��s,3 -;_ (J. OAP. t . .. J ��� LEGAL DESCRIPTION — SEE ATTACHED * 7 4 0 0 j. 4 ,,,s,, 7F_ *7[�0 Y LOT BLOCK S SDIVISION PARCEL NUMBER/S .�4JRT; .) ,1,.�-hlrl�,/<7� 0 v T * Pt 2. 1 � _ ! . _�dpi q I PHONE A-0 7-y , 1-K/ ,S01,1/r,' I'ROCZR .SS A D13 E O,O 0 c� OWNER CO,0-1-6-'e-lit-c, �,L� X74---Z'—3,'-`, 22 8 9 2 3. A DRESS y ZIP Required Set Backs in Feet / d 'i_4 Jc 'ii J. '42 ggz1,46 /q ` I 08- 16-79 �� North ,.,� ISouth,20 East .� West CO TRACTOR PHONE Size o Parcel Zone Classification �y 2 64 7 9, 4' AD Df ESS ZIP Type Const. Occupancy Sprinklered 4-14T -e-- - ❑Yes ❑No ❑ Req'd. DESIGNER PHONE Valuation Building Area in Sq. Ft. 5. /4-7=. ADDRESS ZIP DWL Area Basement Area Garage Area Storage lD () I m:F CHANGE OF USE FROM TO Split Entry Split Level Rancher 6. X, No. Baths No. Floors No. Rooms Rec. Room TYPE A NEW ❑ ALT. D AD'N. ❑ RPL. ❑ MVE. Z ,� 7. OF 0 OTHER WORK XLBLD. ❑ PLMB. ❑ MECH: 0 M.H. ❑ POOL CERTIFICATE Req' . Rec'd. Not Req'd. of EXEMPTION X DESCRIBE WORK 8. p� ,Od Y� ��A..- `�`� /, f f � n FEES COLLECTED VALUATION _� Sooufce GAS °�E� f SIRIk . WATER SEWER 9. ', 6 �3 Utilities .6-R,A lt&--IA `S,/ PI Single $- — I hereby certify that I have read and examined this application and have read the "NOTICE" provisions included ,41 C-) on reverse side, and know the same to be true and correct. All provisions of laws and ordinances governing this Building 71- 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 res. 4 'O. construction or the Plumbing performance of construction. DATE g--‘_:, — / j SIGNATURE W _ Y :'k-'- Mech. SPECIAL APPROVALS SPECIAL CONDITIONS: DEPT. REQ'D. REC'D. f f .4s 6k S-/3 _77 �� Plan Check Env. Heal 0 '7frQ/_ LI o SEPAcp Planning — w a Mobile Home N Fire Marshall — Co. Engineer Other (Specify) Utilities _,/OC TOTAL $ _"7"7" Zone Clearance T WHEN MACHINE VALIDATED IN THIS SPACE, SEPA Checklist ,8 / 7 THIS BECOMESpA PERMIT. DATE -76 / OFFICIAL/W.40(��64.t L.. 0 .. 1.6 ._7 9 % % 7. O * / `F, U J 2 APPROVED FOR ISSUANCE — X03 ' Lot Cost 11,00 PLOT FLAN @g4 c'6 : I I I I I dt �I 1,1m e i� 0 M `�l rn I •' I I i 1I s s C fq ECt \ 0G9C - /4i, 1 \ e moo' 1 •221..W4 . /© Qoi Tar- rC.4.. $.4taH. � pl 'Y1"xGo'' {oG 16• �Rzt/�. t l pour, 4.2.�wAoK 0 i (-,-,,,--) e ,.. , . Scale: /.o= "--o" P�D62ss Qh ELEVATIONS: Crown of Street /csv).3 Finish Floor /o6_ I Basic: Sq. Ft. Legal 772z-Ltut c /O 6 FHA Case # lob # Address hyo Mortgage Co. Parcel # N oo.rt2 mo -re,A 6-Z. Power Co. ater Co. VZ-kA V QA > Plumber oavator