1979, 12-14 Permit: 79-9118 Residence, Renewal of M3276 rLAN
NUMBER APPLICATION/PERMIT PERMIT E
7
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509) 456-3675
DATE / O /7 - ,,;
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 4 COPIES
JOB ADDRESS
1. I OCo N . Val--c l¢ r LEGAL DESCRIPTION — SEE ATTACHED 0 2 * * 2 7, 0 0
LOT BLOCK SUBDIVISION PARCEL NUMBER/S
2. S a Eve 1s+ /add * 27.00
OWNER (� PHONE 0 J V( a - O( 0.� * 2 7 0 0 v
3. (3 i I I ...1 1�J2�/ i rl./ 9ca7t�- 95.95--
lP
ADDRESS ZIP n w1Required Set Backs in Feet t * 0 0 0
. 9'7 0y 1 S-I- 99 / North /y 1 (South / y , East 7 9 (West r>15 ' 9 1 1 7 s
CONTRACTOR PHONE Size of Parcel Zone Classification
,Ji
4. 11 J na_viny ConSi-. )►-ic 90E- 4/5.73— R9x ) 3a 1 2- 1 4,=79
ADDRESS ZIP Type Const. Occupancy Sprinklered
E. 95041/' ) S 99. 0(, 1.1pyt4•) I ❑Yes I INo ❑ Req'd. -Y^s_ 6.479.
DESIGNERC-3 ---N PHONE Valuation Building Area in Sq. Ft.
5. i r� i A tria 1 C3ra� 4 ' 9aR- 77,5,3 /O 3
ADDRESS ZIP DWL Area Basement Area Garage Area Storage
E. I X90 ,3 �(�r�ar,Q 99r?/� I /CO '1 ygyq
CHANGE OF USE FROM Split Entry Split Level Rancher
6. X
TYPE n No. Baths No. Floors No. Rooms Rec. Room
4°l NEW ❑ ALT. 0 AD'N. ❑ RPL. ❑ MVE. / V o
7, OF ❑ OTHER
WORK 0 BLD. ElPLMB. 0 MECH: LIM.H. 0 POOL CERTIFICATE Req'd. Recd. Not Req'd.
of EXEMPTION
DESCRIBE WORK
/ FEES COLLECTED
8. Rc �i cz.n gg Ick 1 A� r'�L�tzL.- J1- il'i 1`.x)4';)
VALUATION Source GAS / ELECTRIC WATER SEWER
9. 57, p of WwP wWP
7 oo 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 :1 7
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 regula . torstruction or the
performance of construction. Plumbing
al
DATE 10 - 1�- 79 SIGNATURE i' . ,
Mech.
SPECIAL APPROVALS SPECIAL CONDITIO :.
DEPT_ REQ'D. REC'D. Plan Check
Env.Health /�� /�^
Planning SEPA ccO
_ U
W
Fire Marshall Mobile Home C)
Z
Co. Engineer Other(Specify)
Utilities
TOTAL $ r-' /
Zone Clearance
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist y THIS BECOMES A PERMIT. 7 f)
DATE/��A..7/1-,/iOFFICIA I,/ /.� i s4/� ;'.;:/,-("amu.` rl L ll _ * ? /, 'J .11 d 1-2
APPROVED FOR ISSUANCE
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