1979, 09-20 Permit: 79-4348 Residence ALAN NUMAER- APPLICATION/PERMIT ( PERMIT NUMBER I
f 24, SPOKANE COUNTY — BUILDING CODES DEPARTMENT 4 3
NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509) 456-3675 DATE
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 4 COPIES
02 * * 34600
JOB ADDRESS
�
��c.. LEGAL DESCRIPTION — SEE ATTACHED * 3 4 600LOT BLOCK 1DIJilXN !'.J� � N
PARCEL NUMBER/S .5�j %-J.,G/`/ * 6
34600
2. /0 AViLZt.. .4U�.> 2 -d,ta, e4 -5 ,.fl 7=// 8L-If 4 A * 0.0 0 "
OW�'ER, '' PHONE yt O
3. �J,lx�i' i.(9�Lr�J//. .Y/!/.,C'., L1 /!`S R/4)/r /VO r Z.5 A i - 4 3 4 7
ADDRESS `� ZIP Required Set Backs in Feet i
s „35✓) lir d�✓ J 4,-!�� -kid- 3,-7/-Z% Northam/,J' ISouth'?O / East ice'. " " 'West D 0 9-2 0-7 9
CO TRACTOR PHONE Size of Parcel l Zone Clification
,isielsbia_ ®J X ' it ,J.,(/vL _.,". .e11.44,4+ 2 6 4 7 9.
4' ADDRESS ZIP Type Const. Occu ancy S rinklered
- , Elves o ❑ Req'd.
DESIGNER PHONE Val ation Building Area in Sp. Ft.
5. ADDRESS ZIP DWL Area / Basement Area Garage Area —
/`?= >1' ;,7 J y--5` Dat. -. /4,0
CHANGE OF USE FROM TO Split Entry Split Level Rancher
6. Q ,/, --- 4
No. Baths No. Floors No. ooms Rec. Room
TYPE V NEW ❑ ALT. ❑ AD'N. ❑ RPL. El MVE. � 7
7. OF ❑ OTHER /
WORK / IZ BLD. ❑ PLMB. ❑ MECH: ❑ M.H. CIPOOL CERTIFICATE Req'd. Rec'd. Not Req'd.
of EXEMPTION
DESCRIBE WORK,. U�
FEES COLLECTED
8. Q . -z_�,', ,,Q/1_-kale.. L'( ,11-; � .
VALUATION
Source GAS ELECTRIC WATER SEWER
9. / ' �-�� Utilities Single $
I hereby certify that I have read and examined this application and have read the "NOTICE" provisions included �i0 -
on reverse side, and know the same to be true and correct. All provisions of laws and ordinances governing this Building �'fLz.._ "
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 .r local law reg atin cons�raet the
performance of construction. / / - Plumbing
,- ,�
r ,�
DATE Cf`-7- i�9' SIGNATURE; 11 t \� '`- Mech.
SPECIAL APPROVALS SPECIAL CO DITIONS:
DEPT. REQ'D. REC'D. I Plan Check
Env.Health ,.'?/
l z r_' V 7r - /_; __ SEPA o
tanning v_
w
ct-
Mobile Home
Fire Marshall Z
Co. Engineer Other (Specify)
Utilities ,),/ 4
TOTAL $ n'Y' %
Zone Clearance
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist i THIS B COMES A P .
DATE /�7/-'' OFFICIAL i . , / ' ,.' f , -' � OE—7 MIT4 3 `F, 0 Z *346. 0.a I-
T-
APPROVED FOR ISSUANCE _
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