1979, 12-14 Permit: 79-9122 Residence, Renewal of M3178 PLAN NUMBER APPLICATION/PERMIT PERMIT NUMBE
SPOKANE COUNTY — BUILDING CODES DEPARTMENT EZ
NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509) 456-3675 DATE fes' '.1j _ 7/
APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 4 COPIES
02 * * 34.00
JOB ADDRESS \ / LEGAL DESCRIPTION - SEE ATTACHED * 3 G 0
1. 4/5./Q N YPrc^ )6^1,
LOT BLOCK SUBDIVISION PARCEL NUMBER/S * 3 0 0
2. y a Eva I s-1- Add . _
OWNER PHONE O 35 tia - oc.oy E * 0.0 0 S
a Ni I I i no v i in./ 9a8-vsas o
ADDRESS ZIP Required Set Backs in Feet 9 1 2 1 2
_95-0'4- /
C. o - 1 s+ Ava.. , 5r, -K,,-,O 99,90(4, North /36 'South /3 tp'
9East F West o?,..3-- 1 2- 1 4-7 9
CONTRACTOR PHONE Size of Parcel Zone Classification
4. fi H I J . I2vir11 con S�. )r,c. 908 v5e?..c (c 9 X Iia 6.479,
ADDRESS ZIP Type Const.lIOccupancy Sprinklered
E. 9, -04.1I s�-- A v¢ 99dot/ RQSic.�¢n4iZI Dyes gNo 0 Req'd.
DESIGNER PHONE Valuation Building Area in Sq. Ft.
5.
J rtid u 5 -I-r i 1 f r -I-i r j 9078 - 77.56- 96 9 -
ADDRESS J ZIP DWL AreaBasement Garage Area Storage
E . I 1)9(. �R ; +Q s 99x14 I 9I '4Area ygv a
CHANGE OF USE FROM TO Split Entry Split Level Rancher
6. X
No.Baths No. Floors No. Rooms Rec. Room
TYPE IN NEW 0 ALT. 0 AD'N. 0 RPL. 0 MVE. I a /
7, OF 0 OTHER CERTIFICATE Req'd. Recd. Not Req'd.
WORK 0 BLD. 0 PLMB. 0 MECH. 0 M.H. 0 POOL
of EXEMPTION
DESCRIBE WORK
FEES COLLECTED
8. Ra,5i Aary 4-t a I i' L LL(7.',-i L '-',- it:i --i yam`{
VALUATION Source GAS / ELECTRIC WATER
WATER SEWER
of W W 1/" \n!h1 P SQ. T I c--
9, ��� Utilities P Single $ —
I hereby certify that I have read and examined this application and have read the "NOTICE" provisions included X , )('
'-
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. The granting of_a permit does not presume
to give authority to violate or cancel the provisions of any other state or local la r g.it ting construction or the
performance of construction. ;--� j� Plumbing
DATE JO - 11- 79 SIGNATURE ^ / � �.
Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS:
DEPT. REQ'D. REC'D. Plan Check
Env. Health .,�
.,ti_ (,r"1/rL/ /.'J///2'y SEPA — •-•Pianniny '.l-1i
.-
Mobile Home c'
Fire Marshall —
Co. Engineer Other (Specify)
Utilities ��
TOTAL $
Zone Clearance
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist /1 THIS BECOMES A PERMIT.
/, ' r —1 ? * 4, 0 (';
DATE;%./' -7'-/OFFICIAL,OFFICIAL,,.1 l,/.r(.X'!/,.:.
APPROVED FOR ISSUANCE -
55.
IV Lc)7 1-1 17, t...oc K 2 EVA•
,
ADD, 1:?..,1 t.,..i_ .7,-, I)F 4\1 i v
Cr •
26 cr,, A A-
i
: ; I
t,
-e)-- ‘
1 ,
1,
,
. :...,
lir19 1
I
8:1
„I
1
I
, .16
, Lig 'Lie'
I i
I i 1
1 1
,,,,,,.'- _,,
, I_ No-TE: fpu 10
LI..? .-- , ,L.-+ , 2-2 r
T.,
N s_rl.At_ GIttRy ti rat'\iz
,
--qe , .,,,, ic.. >,,,,,.. ,-21._>.
( I vl Nv E k) v'a TA Y 1
I F got-or -..--)001.
11?
1-4
•
,
,N N 1-_) y A R.I.,1 c t_F-,..v,_ _
,
t_ i_.1
:7 01 16%,6 Li ceni fP0,X-1_,PA-Cy
I ji DZ c X -, r Li-I\k)
LI tv.J. (-21n-P (N OPOP co-
,. 1 L
—/-
-,,,,,,‘
vril py
AI i ,'.-,2 OC :, to
4_01.__-t CoP 1,...,cv-'..
.7:1 ,....)
!
\----- 1/1..
-1...
71
L.
•
2 S ty,P,L L Lo lti-4 ,
Tri 1
(
__—
[
,... ,
_ -- —
i
17L_O- " TL c NI
Sc_, Le 20 i —
L 0 T 1-4 5L\ 2. E ,s+ qc,J
N. LISrZ Ver-Ciez .
Lor Size. : 89r >e 137. 4,9
r
X\° --- A' 1 �
IA'
�E
.V
ci
i
'
,
r
1ti l -
• - FQ
2.0
i3
q SLt d11 4 Le_J e.t< 1
a! `s �. Zvi i Jer4
of 1 N � -
FL-i
cp .1f
6 / n
N
/
__._ ;J- X/s1'ti .___ e,
A C J(1- �k/ e� �e JA's - JA
/\fO �n2 ..)Pct-►L
��s
•
4