1979, 08-24 Permit: 79-2762 Residence PLAN NUMBER 4 PERMIT NUMBER
APPLICATION/PERMIT _ 2.7 .�
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509) 456-3675 DATE
APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 4 COPIES
02 * * 111.00
JOB ADDRESS
1. . 1-2,06, .-- div SI Nb DfZ�� LEGAL DESCRIPTION - SEE ATTACHED * 1 1 1.00
LOT BLOCK SUBDIVIN -i { PARCEL NUMBER/S .�541-5
4 5 _ K-O A; * 1 1 1.0 0 t6.�
2. I rDNi2 f_ c PS�PT F��F /y (�
Teo., 0. t off `7D CJ -55 2 7 5 7 * 0 0 0
3. ��//�I��11
ADDRESS nZIP G�-7/� Required Set Backs in Feet QJ�f�7
� , 10 2 14- 7-'‘)-114 7/ZO ' North 67 'South 4� 2- ,7
East '7 (West -I v 0 8-2 4-7 9
CONTRA OR PHONE SI of Parcel Zon Classification
4. 2 6479.
ADDRESS ZIP Typ onst. Occupancy S rinklered
5 ❑Yeslo ❑ Req'd.
DESIGNER PHONE Valuati n Building Area in Sq. Ft.
7/ 4,DO "�' . - eP
5. ADDRESS ZIP I trL Area , I B meet i Garage7a I Storage —
CHANGIAOF USE FROM TO CC//�r1'/��S[''plilliit Entry �J�iy�,u15pl LevelCJlp, Rancher
6. '--
TYPE N . Baths No. Floors No._J2ooms Rec. Room
N W ❑ ALT. ❑ AD'N. ❑ RPL. ❑ MVE. .J
7. OF ❑ OTHER
WORK D. ❑ PLMB. ❑ MECH. ❑ M.H. ❑ POOL CERTIFICATE Req'd. Rec'd. Not Req' .
of EXEMPTION
DESCRIBE WORK ' FEES COLLECTED
8. , 'l� , i,5 ,WM 11r(
R
9
VALUATION UtilitSouries GAS ELECT$tTCled ER �
di V/ Single $
—
I hereby cetify 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 111 . 00
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 8--/3-- 79 SIGNATURE _2,--7, i Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS:
DEPT. REQ'D. REC'D.
; O H a ii l i., i9 Plan
lan Check
Env.Health g,ec-C-/ / 7//? g -li7 `�a Vl( SEPAC
C
Planning —
•
o
1.../441F-' ATTAffrA9 Mobile Home rZ
Fire Marshallz
Z
Co. Engineer 1' Other(Specify)
Utilities .A_cr' 0 1+A 7'6 n I! TOTAL $
Zone Clearance ,-- (6/If. WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist L / Irq THIS BECOMES A PERMIT.
DATE C�_-.-,/ OFFICIAL-'( i 7 `� ? i 0 Q -2 4 -7 9 2 7 6. 2 Z * 11 L 0 0 a
APPROVED FOR ISSUANCE u -
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