1979, 10-02 Permit: 79-5161 Demo Chicken House PLAN NUMBER APPLICATION/PERMIT Com,• PERMIT NUMBER
SPOKANE COUNTY — BUILDING CODES DEPARTMENT --_:-74:-_:-74:
NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509) 456-3675
DATEic
_ ,%) ,_"``
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TOM E 4 COPIES t)2 * * 1 0,0 0
JQB ADDRESS
LEGAL DESCRIPTION — SEE ATTACHED * 1 0.0 0 ti
LOT BLOCK SUBDIVISION PARCEL NUMBER/S4' _�4,5( 6) / `"/`r..`i 5 1 6 0
2. PHONE ,v, J .1`CRL--_7 G>/- '?-"�, ,-_. / , .r`K�., /Y' -czi r
,�O�ER _ 10-02-79
3. �./t..L Lv- -' 11(• ,til ri?:G /t. i <j—3;�i l 1 u r ,c r ': V C- A 6 4 7 9.
` r-:ADDRESS 1 / // ZIP 7 Required Set Backs in Feet
C\I r hi G)°.: /_.t`/ L1',Y4'a �L
.`- ; 12= A
' ';, ,-144,f.7K-7. `�i''/ ...L)-- 5 / North 'South East (West
CONTRACTOR PHONE Size of Parcel Zone Classification
.I,G'��
4' 5>.1 -ADD}RESS ZIP Type Const. Occupancy Sprinklered
-50.,a Pki _ EYes ❑No ❑ Req'd.
DESIGNER L�// PHONE Valuation Building Area in Sq. Ft.
4
5. c4L)o�
ADDRESS ZIP DWL Area l Basement Area Garage Area Storage
CHANGE OF USE FROM TO Split Entry Split Level g Rancher
6. k L' Lt;1-ti.7.l.61-{V
No. Baths No. Floors No. Rooms Rec. Room
TYPE ❑ NEW ❑ ALT. ❑ AD'N. ❑ RPL. E MVE.
7, OF MOTHER Req'd. Recd. Not Req'd.
WORK E BLD. E PLMB. E MECH: ❑ M.H. ❑ POOL CERTIFICATE
Q'y,li--C'-, of EXEMPTION �-
DESCRI E WORK
FEES COLLECTED
LUATION Sout'ce GAS ELECTRIC WATER SEWER
of
9. ",-5-4,/;/j 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
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 ` �' �.ar; 7 =k.. __.�
>�'� `, %f SIGNATURE `' Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS:
DEPT. REQ'D. REC'D. Plan Check
Env.Health
M
SEPA `—)
Planning C)
2
Moble Home
Fire Marshall y
G b ' --'
Co. Engineer Other (Specify) /`-'
Utilities 1-(-)-
TOTAL
/rTOTAL $ /4
Zone Clearance
WHEN MACHINE VALIDATED IN THIS SPACE,
1
SEPA Checklist THIS BECOMES A PERMIT.
1 O C '7 I C, ' * 1 0, 0 o it -J
DATE OFFICIAL 1.
APPROVED FOR ISSUANCE —