1979, 07-17 Permit: 79-533 Plumbing FixturesPLAN NUMBER
t
APPLICATION/ PERMIT
SPOKANE COUNTY - BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
DATE
PERMIT NUMBER
03* *53.00
*53.00
*53.00
A *0.00
53.22
07-17-79
;F 6479,
8 {1 K 6)e k `7 / K m IY7 A- � /, FEES COLLECTED
VALUAT 0N C SourceGAS (,' ELECTRIC WATER SEWER
of
9. Utilities
Single $
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 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 doe ume
on
to give authority to violate or cancel the provisions of any other state or local law regulating nstructior 1he
400
performanceof construction. .r��/y � �' Plumbing
DATE SIGNATUR Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS:
DEPT. REQ'D. RECD. Plan Check
Env. Health
SEPA
Planning
Fire Marshall Mobile Home ,9
0
Co. Engineer Other_ (Specify) —T,V
l
Utilities Ory
TOTAL $. V
Zone Clearance
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist% THIS
I('BECOMES A PERMIT.
rIATF I/ ` // I7FFICIAI' " 7 -17 -7 9
fS-,nno
-
APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 4 COPIES
JOB ADDRESS
�
'
LEGAL DESCRIPTION - SEE ATTACHED
i
�,
LOT
BL CK
SUBDIVISION
PARCEL NUMBER/S
2.
O"ERjre
1
P E76
AW ESS/
se
L5v S
ZIP
Required Set Backs in Feet
L
`
North South East West
CONTRACTOR
PHONE
Size of Parcel
Zone Classification
4'
ADDRESS
ZIP
Type Const. I
Occupancy
Sprinklered
?,? zo
❑Yes ❑No ❑ Req'd.
DESIGNER
PHONE
Valuation
Building Area in Sq. Ft.
5.
ADDRESS
ZIP
DWL Area
Basement Area
Garage Area
Storage
CHANGE OF USE FROM
TO
Split Entry
Split Level
Rancher
6.
TYPE NEW
ALT. 1:1AD'N.
1:1 RPL.
ElMVE.
No. Baths
No. Floors
No. Rooms
Rec. Room
7,
OF
❑ OTHER
❑ BLD.
❑ PLMB. ❑ MECH:
❑ M.H.
❑ POOL
CERTIFICATE
Req'd.
Rec'd.
Not Req'd.
WORK
of EXEMPTION
I
DATE
PERMIT NUMBER
03* *53.00
*53.00
*53.00
A *0.00
53.22
07-17-79
;F 6479,
8 {1 K 6)e k `7 / K m IY7 A- � /, FEES COLLECTED
VALUAT 0N C SourceGAS (,' ELECTRIC WATER SEWER
of
9. Utilities
Single $
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 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 doe ume
on
to give authority to violate or cancel the provisions of any other state or local law regulating nstructior 1he
400
performanceof construction. .r��/y � �' Plumbing
DATE SIGNATUR Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS:
DEPT. REQ'D. RECD. Plan Check
Env. Health
SEPA
Planning
Fire Marshall Mobile Home ,9
0
Co. Engineer Other_ (Specify) —T,V
l
Utilities Ory
TOTAL $. V
Zone Clearance
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist% THIS
I('BECOMES A PERMIT.
rIATF I/ ` // I7FFICIAI' " 7 -17 -7 9
fS-,nno
-
-
RESIDENTIAL NUMBER N 3654
SPOKANE COUNTY BUILDING CODE DEPARTMENT
811 N. Jefferson, Spokane, Washington 99201
-. ---RAiIrac�_-C I1927-�
Property Address_. r�le,..East-
Land Use or Structure Permit
r \ t✓p; `.........
------TYPe..--.. V..-
CsGrou --.Zone -------- Permit for..----. Da lex ---eaLL -.a-4t•-aad---dea
OwnerOeno.-A3ocklund---------------------------------------------- Address----- 06.---------------......Phon�24-3576
Arch/Eng----------------------------------------------------------------------------- Address ............................................................. --------------------- Phone ..............................
Contractor_..Sa.;a........................... ............................... ..... Address ...... Sam ------------------------------------------------------- ---------- Phone .... $AWA................
Location: Roadway RJW Width ------ SQ!....... Parcel ...... Lot ---7-..,Mock..2....Flueat..ftwt...iat.-Adl........
Kin......-...li,met...... Front.-Yard --- of .?at.-.leamt--...5.? 1...fma...o/litl..Qf . d....
r/-K.. or...2S 1..-frm.-P/In..- whichaxar...La...greator......Flanking.-atreats....45-'..-...11,
.from..p/In.,..whichever.-is..grieater....Side--.ysrd--5.'---foa... each--atoms,--lA!---on..,oae--side--far_.dri rwmy....
o
-when-.gaurage..is..datached.....-25.'.---r-ear-.yard-rsauired.-.-oz --nore.,.-if-raaaired-bY..Za,B1dg,---and/orA-
Bldg. Zone.i ------- Fire Zone ... -9.-.... .Size of Lot.--20t.3t110-'----------- ---------------------------- ------- Sewage .... Septic_ ........ Const..-.frMe.... .-------------------
o
Stories..----.....Dimensions... 16'x28'--.16'x28'--- 32'x28!--- (-2.)-..$t.)dO' ---- .--- Total Sq. Ft ---- .2849------------ Valuation..$Q5-,0t10.-OQ--------
o
Rms..5..-eaBaths/RR----leas.--.Basement...f-u1.L-Foundation.-.--.--x=cmta..Chimney-----mtlFireplace---.1--.. Htg, System.--Alec.....................
E
Type of Roof ing..-h+at----------------------------------- Ext. Finish ---- ply-wood .......... .-..---------- Int. Wall Finish ---- drywall---------- ................ Bdrms.2... ea ---
Certificate of Occupancy Issued for ----- aoa,.abova.--.-plumbing--and--heating--permits.-are--required.----- EACH STAGE....
Remarks .-QF---C-ONSTRUCTION--MUST.-HAYE...INSPECTION&--CAT.T. .-FQR-.AS.-Rl:gJIRED--.SYOQDE.-.-..MUST .-CONrORM--------
-TO..ALL..COUNTY--CQDEUQU1_.? HENTS.-_Z1VAL...rNSP.ECTIOX._A=IREDe---CALL-458 1675-,--prior--ta-10::00-_
-tt.m.--- ox --- one ... day-.-in--advanae.----- Smoka--dateator.(a).-rectuired------ A-.1/hr---rated.-f ire --- waLl--separation.
.-retiuired-.hntveen.-residence--anld--garage-.--•#fira..,cod es..------.._---------------••---------......---••----..................---•------•-------------
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---------------------------------------- ---------------------------------------•------------------------------------------------------------ ------- ...------------------------------------- •-------------- •--------------
THIS PERMIT is granted upon the express condition that the building or land use for which the permit is issued shall conform in all respects to all the ordinances of the County of
Spokane, regulating the construction, use and occupancy of buildings in Spokane County, and may be revoked at any time upon the violation of any of the provisions of said ordinances, or
failure of plans as approved, to comply with said ordinances.
fJ
In consideration of the Issuance of the permit for the erection of signs the grantee must place the said signs where directed by County Officials and shall remove the said sign at the
expiration of the permit unless regularly renewed.
This permit will be good only for commencement of work within six months, and the entire completion thereof within.-Y"r.....
from this date; after which time this permit will be void. Authorized b Builoi g Official BUILDING CODE DEPARTMENT
�
Permit Expired t?Aa<..� g, X360 By... :y ... �,...�!,;�, r`.-?.........
INSPECTOR
Fee Paid------------- Date Issued....-......-----------
i.5ti -mmc d/1S/79 Building