1979, 10-09 Permit: 79-5581 RemodelPLAN NUMBER
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DESIGNER
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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
LEGAL DESCRIPTION — SEE ATTACHED
SU
I ISION
PARCEL NUMBER/S i
k07-1 x? Af 1�
PHONE
}
Y
ZIP
Required Set Backs in Feet
North South
East West
PHONE
Size of Parcel
Zone Classification
`L
ZIP
Type Const.
I Occupancy
Sprinklered
❑Yes ❑No ❑ Req'd.
PHONE
Valuation
Building Area in Sq. Ft.
ZIP
DWL Area
Basement Area
Garage Area'Storage
CHANGE OF USE FROM TO Split Entry Split Level Rancher
6.
No. Baths No. Floors No. Rooms Rec. Room
TYPE El NEW ALT. ❑ AD -N. El RPL. 1-1 MVE.
7, OF El OTHER Req'd. Recd. Not Req'd.
WORK ❑ BLD. ElPLMB. ❑ MECH: ❑ M.H. El POOL CERTIFICATE
of EXEMPTION x
D CRIBE WORK
8. ri,
IVALUA'TION T
FEES COLLECTED
91"3 a o voT
Utilities
Single $
1 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 `Y'
p 9 9 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 �SIGNATURE_��!?✓tkr�.�t�Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS:
DEPT. REQ'D_ RECD. " ? Plan Check
Env. Health
Planning
Fire Marshall
Co. Engineer
Utilities
Zone Clearance
SEPA Checklist
SEPA `f.e-- , ✓ Mobile Home
�/�:wt`l4!ctXr7<
DATE/42-7Z0FFICIAI1Lt�.
Other (Specify)
PERMIT NUMBER
DATE !U._`—ZCl'
02* *,50
*38.50
*3850'
E *0,00
5580-g
10-09-79
9 6.479.
TOTAL $ ��
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
9; 9 5 5' 8' z
*38.50°�