1979, 08-29 Permit: 79-4440 Residence (PLAN NUMBER APPLICATION/PERMIT PERMfT NUMBER
I e' /94; SPOKANE COUNTY — BUILDING CODES DEPARTMENT 79— 4444-.0
r NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509) 456-3675 DATE q �.gr /
APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 4 COPIES 0 2 * * 1 3 1.0 0
JOBgA DDRESS ,y LEGAL DESCRIPTION - SEE ATTACHED * 1 3 1.0 0 1-6
1. )2 • z:5; ,i-') �N X41--ti .. ,9-Cz,e �,! Y
LOT BLOCK UB IVI ON PARCEL NUMBER/S 0,5-4-.4 l._e) �,^`-- * 1 3 1.0 0 c�
vTI PHONE
3. �/-h-zi,L j. . 6024-8,2 61-& YP)AJDE; A.JA ACRE5 ADP 4 4 3 9 2
ZIP
Required Set Backs in Feet
34. /// 7 2-(ti�.-d/✓}%%j I?, . > '4r- 4/k-e Gf' 4North /- ' ISouthr39 East ''c West.24 0 9—2 1 —7 9
CONTRACTOR PHONE Size of Parcel ; Zone ClassificationyL 4 9
/.2.6-• . 550 APP .iru C.l.Lt�l�r G .°.c.TR- U
4. ADDRESS ZIP Type Const. Occupancy Sprinklered
44 ''l £✓ l ❑Yes gNo ❑ Req'd.
DESIGNER PHONE Valuati n Building Area in Sq. Ft.
5' ADDRESS ZIP DWL Area I Basement Area Garage Area Storage
1710 /-74) ° 7;2-d °
CHANGE OF USE FROM TO Split EntrySplit Level Rancher
6. # 4,611,621
No. Baths No. Floors No. Rooms Rec. Room
TYPE X NEW ❑ ALT. ❑ AD'N. ❑ RPL. ❑ MVE. /1 j '7 }(eS
7, OF ❑ OTHER CERTIFICATE{
WORK V BLD. ❑ PLMB. Req'd. Recd. / Not Req'd.
El 0 M.H. ❑ POOL
of EXEMPTION
DEsc IBE WORK / FEES COLLECTED
VAL ATIONSource GAS ELECTRIC WATER SEWER
of
9. i J-7/.._-51)� Utilities Single $ - _
I 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 does not presume
to give authority to violate or cancel the provisions of any other state or local .1 regulating construction or the
performance of construction. , C Plumbing
DATE g--2 q 7 `f SI: _Im-- .`L_ A r_ _ ,�.t — I Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS: (
DEPT. REQ'D. REC'D. Plan Check
Env.Health �� i i
SEPA cD
Planning — w
CL
Mobile Home ci)
Fire Marshall Z
Co. Engineer Other (Specify)
Utilities L)d
TOTAL $ /:.-ii--
Zone Clearance
f WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist )/ THIS BECOMES A PERMIT.
DATE ' OFFICIAL, - :
APPROVED FOR ISSUANCE -
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