HomeMy WebLinkAbout1979, 10-09 Permit: 79-5523 Residence [LAN NU BER APPLICATION/PERMIT PERMIT NUMBER I
..21742—. 7?- 55-A 3
—
SPOKANE COUNTYBUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509) 456-3675 DATE SEAT /l /177APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 4 COPIES 0 2 * ✓ * 2 6 9,0 0
JOB ADDRESS LEGAL DESCRIPTION — SEE ATTACHED * 2 6 9,0 0
1. N. +9 2,Z RE ES ROAD
LOT BLOCK SUBDIVISION PARCEL NUMBER/S pg - OF 35643-0606 * 2 6 9.0 0 6
2. '4- 2• u>N D W c KsoN Sug E C)
OWNER PHONE * 0,0
3. TED too.NoLD (Nog-rivJ sT H-oms) q2Z-694/2 5 5 2 2 B
ADDRESS ZIP Required Set Backs in Feet
• 7S 20 8 a-vaieLy DlZ1I/� SPOiCANE RgurG North f p' (South P+ East 68I 'West 321 1 0-0 9-7 9
CONTRACTOR PHONE Size of Parcel Zone Classification
a. SAn3 ' 5/kG E.s
raw LY g . 4 7 9.
"fr , Bot X /
ADDRESS ZIP Type Const. Occupancy Sprinklered
V N R-4 ❑Yes ❑No ❑ Req'd.
DESIGNER PHONE Valuation Building Area in Sq. Ft.
5.
``f7, -7q ii. /ao _
ADDRESS ZIP DWL'AreaBasement Area Garage Area Storage
//72, I 10 So 630
CHANGE OF USE FROM TO Split Entry Split Level Rancher
6. -- X
No. Baths No. Floors No. Rooms Rec. Room
TYPE NEW ❑ ALT. ❑ AD'N. ❑ RPL. 0 MVE. Z 1 NONE
7. OF LH' ❑ OTHER -
WORK BLD. ❑ PLMB. ❑ MECH: ❑ M.H. ❑ POOL CERTIFICATE Req'd. Rec'd. Not Req'd.
of EXEMPTION 1.-----
DESCRIBE
/DESCRIBE WORK
8. 12. ltar/yCE --yA1 G b ('A- -r-Ac 454> I N(Sl} 43A-T-04 0j BnnKr-
SEE - FEES COLLECTED
VALUATION I Source GAS ELECTRIC WATER SEWER
of
9. 14f'7/ 79/-5Z( Utilities Single $ _
I hereby certify that I have read and examined this application and have read the "NOTICE" provisions included o0
on reverse side, and know the same to be true and correct. All provisions of laws and ordinances governing this Building 112 5C4
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 regulati • ons' uction or the
performance of construction. Plumbing
DATE NATURE . ' Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS:
DEPT. REQ'D. REC'D. OiW— f Plan Check
Env. Health �,, oN Mh f'
'/t_-: s` /, ,-(l '(LC i _ . SEPA 2
Planning _ w
Mobile Home r.;')-
Fire Marshall Z
Co. Engineer Other (Specify)
Utilities p�
TOTAL $Z 6 I X�C
Zone Clearance
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist PIANS OK, THIS B COME,�S A PE,RMIT.
p 7 //�,�,,, , I_, > - *.2 6 9, `� 0 -' -
DATE ,'�7'I /OFFICIALS�'w/"� J� -
APPROVED FOR ISSUANCE -
1 N
,(.1 I
\
1 I e A
1 I 1
i
)
-1 1
I . ,
! 1 rvr1
771 10-v2 Z 1
..........._.. .......
1 '14'77a r52 I arzy 71162/
I ,N .1.7
.3,.. _..________
I 45,tvea
i '-w777',Y 0(Iblit.,
‘ I .
.).
1 i -7,cy
.........._ 1
.44
........_7;4...._________
• .
1
i
v j
, cze
(NA
.,.
,
".ws- 0-vc-s-,, /.7/.7 0'2h
7 1/7772. A 2 177 7077-l'h?„5-1- 1-.4 42 7 A.'",!.7
atfr
,.... ..
norxry e....,,,,,..4., -v.. . . _.