1979, 12-27 Permit: 79-9541 Dishwasher, Sink PLAN NUMBER APPLICATION/PERMIT t) PERMITN=MBE ' I
Ill
SPOKANE COUNTY — BUILDING CODES DEPARTMENT ��-1(' �c'"11
NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509)456-3675 DATE
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 4 COPIES
JOB ADDRESS 0 3 * * BOO
1. . e1 Cf3c.d jA A�yO . LEGAL DESCRIPTION — SEE ATTACHED * 8 0 0
LOT BLOCK SUBDIVISION PARCEL NUMBER/S * 8 10 0
2. �i /� R �J yy� /• / n '�JIy)Jy / E /t
3. OWNER,/Gf IC. 4., rine l4 /z� 1 (!1 14-/ C%�rcV"(/ �/ * V.O O cpv
ADDRESS//l /� /� ///��� Zlp(/�y�/�, /� Required Set Backs in Feet 9 5 4,0
y -D_() SA A /C.) / `—'� K� North 'South East 'West 12—2 7_7 9
CONR / PI-ONE Size of Parcel Zone Classification
4. - - -- e)ZtAe.--it 4Y //7d 2 6.4 7 9.
A SS Z,11P Type Const. Occupancy Sprinklered
6 3.-2 -7 . g-
- ❑Yes ❑No ❑ Req'd.
DES GN R 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 No. Baths No. Floors No. Rooms Rec. Room
❑ NEW ❑ ALT. ❑ AD'N. ❑ RPL. ❑ MVE.
7. OF ❑ OTHER
WORK ❑ BLD. XPLMB. ❑ MECH: ❑ M.H. ❑ POOL CERTIFICATE Req'd. Rec'd. Not Req'd.
�'���'\\l\\\ of EXEMPTION
DESCRfel JIBj WORK �� 7�
8. /�,�L r FEES COLLECTED
VALUATION Source GAS ELECTRIC WATER SEWER
of
9. 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 "L
to give authority to violate or cancel the provisions of any other state or local law regulating construction or the
performance of construction. Plumbing
DATE SIGNATURE
Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS:
DEPT. REQ'D. REC'D. Plan Check
Env.Health
oc
Planning SEPA O
- w
2
Fire Marshall Mobile Home rn
z
Co. Engineer Other (Specify)
t. LUtilities
TOTAL $ '
Zone Clearance
SEPA Checklist WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
7
64.444474_ 2. — L / — / y` 5 4. v * 6,1U li
DATE/42.-0g OFFICIAL C,- I
APPROVED FOR ISSUANCE