HomeMy WebLinkAbout1980, 11-03 Permit: 80B-3101 Residence r
'PLAN NUMBER APPLICATION/PERMIT PERMIT NUMBER 1
/1—z /s' 1//3/110
SPOKANE COUNTY - BUILDING CODES DEPARTMENT V.013-3/4
elNORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509) 456-3675 DATE
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 4 COPIES
,; 2 * * 337, 00
JOB ADDRESS
1. 5_ /72Z. OCR,/ e/er5 7 D.P, LEGAL DESCRIPTION — SEE ATTACHED * 3 7. ;-) 0
LOT BLOCK SUBDIVISION PARCEL NUMBER/S
2. 6 1 Ridgemont Estates No. 2 25541-0106 * 337,0 0
OWNER PHONE rl * C, l^; (,
Hanson Uonst. Co. 928-7456
3.
ADDRESS ZIP Required Set Backs in Feet ,
N. 5309 Sullivan Rd. 99216 North 'South 3'y [East �r I - � 10.0f
West r 1 1 —0 3-8 0
CONTRACTOR PHONE Size of Parcel Zone Classification
Same 33,100 Sq. ft. 5./u4cE PA?/'fflc-'y r 6« 7 9,
4. ADDRESS ZIP Type Const. Occupancy Sprinklered
Framev-1.4 S -13 R ❑Yes ❑No ❑ Req'd.
DESIGNER PHONE Val ytion Building Area in Sq. Ft.
Dewey W. Hanson 928-7456 �7gpg, c 3,782
5. ADD' .ftS ZIP DWL rea Basement Area Garage Area Storage —
N. 5909 Sullivan Rd. 99216 1,619 I f 544
CHANGE OF USE FROM TO Split Entry Split Level Rancher
6. X
No.Baths No. Floors No. Rooms Rec. Room
TYPE ® NEW El ALT. El AD'N. ❑ RPL. ❑ MVE. 3 1 X
7, OF ,�,/ ❑ OTHER
WORK DIBLD. ❑ PLMB. I=1 MECH: ID M.H. ❑ POOL CERTIFICATE Req'd. Rec'd. Not Req'd.
of EXEMPTION
DESCRIBE WORK
8"r5VE i.46- ,4Jl/79AC V .2f.,5.1,Vl �jje. jzr t`4 "-eve' /1�/ '/a FEES COLLECTED
di VALUATION Source GAS ELECTRIC WATER SEWER
t of Vera Vera Vera
rC 7,80 —® 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. granting of a permit does not presume
to give authority to violate or cancel the provisions of any other state r ocal law regulating c struction or the
performance f co struction. i Plumbing
�
DATE /U 2 ii
�ii-e) SIQNATURE___AW � � &, Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS: li
DEPT. REQ'D. RECD. ,Clan Check
S'
Env. Health . Y7` ' /..�/✓'=..dfJCACC4) ,DEC,t"�F"GxS 2.CA0/SP
ccJ
Alert !i // 1/ 9';C:'4/56 f'/de&I::,/>i et) //V a4S6,46.-iJ7- SEPA P
Planning
6:6-5 0 l/4,,,,F/i5 o /,t.r 2,956-„„e-,.,,,7- — w
1
Fire Marshall Mobile Home
Co. Engineer Other (Specify)
Utilities TOTAL $ 33?.c•
Zone Clearance ,irk . /,
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist ` THIS BECOMES A RM1T. • i
DATH� �' • OFFICI . c _ T1, a5,,� 0, 311,.15 *3-310 0 a. ~-
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