Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
1979, 10-11 Permit: 79-5756 Barn
PLAN NUMBER APPLICATION/PERMIT SPOKANE COUNTY - BUILDING CODES DEPARTMENT NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675 APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 4 COPIES JOB ADDRESS 1. N 5 c)(2_5-- /L 1 L L 4)2 J LOT 1 BLOCK SUBDIVISION 2. OWNER 3. 61-1 uC)-( 1 Mc ) t4i e T SP 1 tet. 1 'Z 1L- -PAM RAF PHONE 'T5-5-72? ADDRESS ZIP LEGAL DESCRIPTION - SEE ATTACHED PARCEL NUMBER/S L76 /1,. i — ©967/ N 2. 7,7 / C)�CPAY' W J 5411 t1� %C I I2 Required//Set Backs in Feet North4 2 1South ` 5 [East »1? IWest2. 4. CONTRACTOR PHONE Size of Parcel ADDRESS ZIP 2 C2 y4-7 T peC�onst. Occ pancy /L'L6 Z ,2) Cja¢si icat/on Sprinklered ❑Yes ,$No ❑ Req'd. DESIGNER rJ. ADDRESS PHONE aluation ZIP DL Area I Basement Area Building Area in Sq. Ft. 5-/ Z Gara9e,Area St rage CHANGE OF USE FROM 6. TO Split Entry Split Level Rancher TYPE 7. OF WORK 'VEW ❑ ALT. ❑ BLD. ❑ PLMB. ❑ AD'N. ❑ MECH: DESCRIBE WORK/ / 8. %a1-7 6 X 3 2 VALUATION TIF 9. S QQ I hereby certify that I have read and on reverse side, and know the same type of work will be complied with to give authority to violate or cancel performance of construction. DATE L/, _ El RPL. ❑ M.H. ❑ MVE. ❑ POOL ❑ OTHER No. Baths No. Floors No. Rooms ( Rec. Room CERTIFICATE of EXEMPTION Req'd. Rec'd. Not }eq'd. So ce of Utilities GAS ELECTRIC WATER SEWER examined this application and have read the "NOTICE" provisions included to be true and correct. All provisions of laws and ordinances governing this whether specified herein or not. The granting of a permit does not presume the provisions of any other stat- . local law regulating construction or the SIGNATURE SPECIAL APPROVALS DEPT. REQ'D. REC'D. Env. Health Planning Fire Marshall Co. Engineer Utilities Zone Clearance SEPA Checklist SPECIAL CONDITIONS: PC—A s J N€ 7—t r —9 r' APPR i D FflP ISSIIANr.F FEES COLLECTED Single $ Building A9.00 Plumbing Mech. Plan Check SEPA Mobile Home Other (Specify) TOTAL $ rrVIIT NUMBER • 57s6 DATE * 10.00 * 10.00 in * 10.006 E *000 57552 10-11-79 6479. WHEN MACHINE VALIDATED IN THIS SPACE, THIS BECOMES A PERMIT. 10 -,1 1.- 7 9 5'7'5.'6 z *10.0.0 F C 1• c G I n 5 lzf2 X58 ' 7 " E" Lai U it tel T!• moos legaddi 4 . )7. Pp& ,,rc yde hi. 311' A /fit 44 7gu. Eid"111$‘ 3 s/ W4/- ofo 9