1979, 08-16 Permit: 79-2288 Residence PLAN NUMBER APPLICATIONIMERMIT PERMIT NUMBER I
g/ SPOKANE COUNTY — BUILDING CODES DEPARTMENT _ ;2-��
NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509) 456-3675
DATE '—/ - 7q
APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 4 COPIES
02 * * 7800
JpB ADDRESSLEGAL DESCRIPTION - SEE ATTACHED * 7 8i 0 0 n
r� f
LOT BLOCK SUBDI V SIGN PARCEL NUMBER/S fcn2'7 or.0,....3,5441-ia, - * 7 8 0 0 v
OWNER r y- ._ PHONE I-07- / 43'x' K 1 E *000 O
3. -74
- Zr .ed (7_,,t-ptzt. C/G -ii-A ,, .Z76 z3.. 1)0 7-14 FARO E., E. 5 -4 P 1) o
DREESj-��S��``�/ . AC:
) ZIP Required Set Backs in Feet / 2 2 a 7 f 7
. r �." ° /f��/�- A/�Y�' _Z/Z,�zl�{�' North /e South } East t�/ West ( 08- 6-'I (�
CQNTRACT R PHONE Size of Par el
c� I Zone Classificationp
4. 31e DRESS J6.- /L}5x( /-7 16//,-./_140 ,a,l/k ie £ 6 4 7 9.
ZIP Type Const. Occupancy i&prinklered
,a4. ; Oyes kNo D Req'd.
DESIGNER PHONE Valuation Building Area in Sin. Ft.
7
5. ADDRESS ZIP DWL Area, Basement Are$ Garage AreaStorage
//a I I z:),6--4, ._ -----
CHANGE OF USE FROM TO Split Entry Split Level Rancher
6. X
TYPENo. Baths No. Floors No. Rooms Rec. Room
NEW DALT. ❑ AD'N. ❑ RPL. ❑ MVE. / / .C— �^^--
7, OF p� ❑ OTHER V
WORK l'1\ BLD. ❑ PLMB. ❑ MECH: ❑ M.H. ❑ POOL CERTIFICATE Req'd. Rec'd. No( Req'd.
DESCRIBE WOR of EXEMPTION
8. .O.��G U� e� FEES COLLECTED
VALUATION ���llll Source G � ELECTRIC WATER SEWER
9. c� �t r/ / `- Utilities Watt fA. VL-RQ SEPT' Single
$
I hereby certify that I have read and examined this application and have read the "NOTICE" provisions included 6
on reverse side, and know the same to be true and correct. All provisions of laws and ordinances governing this Building ?c`'S''
type of work will be complied with whether specified herein or not. The granting of,- .ermit does not presume
to give authority to violate or cancel the provisions of any other state or local law r•g .ti g construction or the
performance of construction. Plumbing
DATE C l SIGNATURE`Sw. i'K
Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS:
DEPT. REQ'D. REC'D. PL.AIIS BG 8-le /3 71 Plan Check
Env.Heal h jr----
Plano' g J�
w
2
Fire Marshall Mobile Home z
Co. Engineer Other (Specify)
Utilities
c
TOTAL $ 7�G �
Zone Clearance
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist THISgCOMEeAMIT.
DATE —/Z7-'-'-'7 l � L 2 0. 0 * 78. 00 d FFICIA A �--V
APPROVED FOR ISSUANCE
ILCl gAV0%IGY iLiIr.v ' ,/,1Un+
/03 ' \ Lot Cost 4/i,,00ss
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Scale: y.20,. /•-0,,
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Finish Floor no/3
fasic: Sq. Ft. Legal .
SPLIT / Og(!
PHA Case # Sob I Address
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Mortgage Co. Parcel #
koov�2 inoR. r AGS ,--
Power Co. later Co.
V . 12-P.- Ut,eP
Plumber %xcavator
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