1979, 11-15 Permit: 79-7838 AdditionPLAN NUMB R
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 A DRESS
VALUATION
/�
LEGAL DESCRIPTION - SEE ATTACHED
GAS
E CTRIC
)
WATER
N �/j
SEWER
IG
LOT
I BLOCK
ISUBDIVISICIN
PARCEL NUMBER/S
)7j4--4—' l
2.
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
OWNER _
Building
PHONE
to give authority to violate or cancel the
provisions of any other state local law reg construction or e
AD SS
Plumbing
Z
Required Set Backs in Feet
Q// �1
3U
SIGNATURE
Mech.
SPECIAL APPROVALS
DEPT_ RECQ'D.
North South Z
East vv West
CONTRACTOR �
Env. Health
PHONE
Size of ParcelI�
Zon Cl�sification
SEPA
�
Planning
�
)
Fire Marshall
4'
Mobile Home
Co. Engineer
Other (Specify)}}}}
ADDRESS
P
Type Const.
V
Occupancy
. —
S rinklered
Dyes No 1:1Req'd.
DE IGNER
PHONE
Valuat�n
dp
Building Area in Sq. Ft.
WHEN MACHINE VALIDATED
THIS PERMIT.
'IyBECOMES
55 � /
_ ! ,"
00�
5.
ADDRESS
ZIP
DWL Area
Basement Area
Garage Arba
Storage
CHANGEfOF USE FROM
TO
Split ntry
Split Level
Rancher
No. B[the
No. Floors
No. Rooms
Rec. Room
TYPE El NEW I -]ALT.
—,//
V-A
14 AD'N.
❑ RPL. ❑ MVE.
"3
7, OF {�
`� BLD. ❑ PLMB.
❑ MECH:
El OTHER
❑ M.H. ❑ POOL
CERTIFICATE
Req'd.
Recd.
Not Re
WORK
of EXEMPTION
I
• it
PERMIT NUMBER
7 9 - 78-3 8`
DATE / / — /-:5 7%
r
*1 1,600
*116.00 N
*116000
E *0.00 0
7837
11-15-79
2 6479.
DESCRI E WORK
s. '� ALP) Q Oq
I tI
,52x ter,
FEES COLLECTED
VALUATION
/�
Source
GAS
E CTRIC
)
WATER
N �/j
SEWER
IG
9. L/
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
�` 0v
��
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 local law reg construction or e
performance of construction.
Plumbing
DATE lam` y_ 7 % -
SIGNATURE
Mech.
SPECIAL APPROVALS
DEPT_ RECQ'D.
SPECIAL CONDITI S:
RECD. Ippb�O —r I� — �J—C2� J�
n Check
Env. Health
SEPA
Planning
Fire Marshall
Mobile Home
Co. Engineer
Other (Specify)}}}}
Utilities
TOTAL $ i/1-=
Zone Clearance
IN THIS SPACE,
7 Q Z, O0 o * 1 Z L O Q O
J 1 U. tL
SEPA Checklist �n/ ,,11 `
nATF �/ (IFFI('IAI /VI .�.� (_ fi{✓(,"
WHEN MACHINE VALIDATED
THIS PERMIT.
'IyBECOMES
55 � /
_ ! ,"
I