1980, 03-04 Permit: 80-1759 Residence }
PLAN NUMBER l APPLICATION/PERMIT PERMIT NUMBER
h _ o� I SPOKANE COUNTY — BUILDING CODES DEPARTMENT ffd -" 75-9
NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509) 456-3675 DATE 3—''71— "
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 4 COPIES
G2 * * 385.00
JOBp ADDRESS
1 .ICJ4-3/5- v
'Van 9,rt9r elu t (srREzT) LEGAL DESCRIPTION - SEE ATTACHED * 38 5,0 0
LOT BLO K SUBDIVISION PARCEL NUMBER/S * 38
3 8 5, O U
2. I,. 1 Font? ros,' 1-Till. c �� �f
n7)41#2 — t""S'C4 *, �'l ,
OWNER PHONE � E O.O u �
: • R. ,?• rx rssJCI tnomInc. q22-409`) 05-4 -yu0'7 POf7/cry D-
3 ADDRESS Pi
ZIP R, 9De7d SetrBacks F get n ,,5' o/ n 1 15�.8
:25 0• Tt�es Rd. 99206 North 5 (South 1l East 1 : 'West 1�. 03-04-8C
CONTRACTOR y T PHONE Size Parcel Zone Classification
N. R. ' a" ,S' ��.:i sem. o c 1 �_t,e::. Inc. 922.J!-022 .i .;7-: 6 a�7 4).
ADDRESS f ZIP Type Const. Occupancy Sprinklered
LESS t4
-�26 SO Pines Road 99206 Eyes INo ❑ Req'd.
DESIGNER PHONE Valuation dd Building Area in Sq. Ft.
74600— (2.286
5' ADDRESS ZIP 3.W6zi a I Basement`A ' Garage Storage
CHANGE OF USE FROM TO Split Entry Split Level Rancher
6. ..,,L
No.Baths No. Floors No. Rooms Rec. Room
TYPE [ NEW 0 ALT. 0 AD'N. 0 RPL. 0 MVE. IL A ii
7, OF 0 OTHER Req'd. Recd. Not Req'd.
WORK E BLD. 0 PLMB. 0 MECH: 0 M.H. 0 POOL CERTIFICATE
of EXEMPTION X
DESCRIBE WORK FEES COLLECTED
8. ',Angle Family ^ o i dente ,,/1), Cf-'_r %attac. "_ c; :it:,-r..
VALUATION Source GAS ELECTRIC WATER SEWER
9. 1L 2,250•00Ut�ties v'Fil 711'P +Y'111 f: c A
-) 1C Single $
I hereby certify that I have read and examined this application and have read the "NOTICE" provisions included v6
on reverse side, and know the same to be true and correct. Allprovisions of laws and ordinancesgoverning this 3��'`
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 1± .80 SIGNATURE Mech.
! SPECIAL APPROVALS SPECIAL CONDITIONS:
DEPT. REQ'D. REC'D. Plan Check
Env.Healthcc
L, X-Ze-aV �/9/�D SEPA cc
Planning — (_)
Fire Marshall Q? %Q,*j1, ,�/ -�� Mobile Home
y (t
Co. Engineer �_e�4� fi--%" Other (Specify)
(k.>n.6P,c. .19-u/ 2—/9-Y4
UtilitiesG�
TOTAL $3g3
Zone Clearance
pLANS AR PRAA WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA ChecklistTHIS BECOMES AgPERMIT.
DATE 2,—Z2+AbFFICIAL `140)StAas}Iy1 0 .-'O 4 -U O l 7 5.9 z * 5 8 5,0 0 2 F
APPROVED FOR ISSUANCE
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