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1979, 10-11 Permit: 79-5758 Residence
' . 0 y /PLAN NUMBER _ APPLICATION/PERMIT / _ i PERMITNUMBER ' ' 7S 0 SPOKANE COUNTY — BUILDING CODES DEPARTMENT \\ I �J NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509) 456-3675 DATE APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 4 COPIES 0 2 * * 2 1 5 0 0 1 JOB ADjZR _IS,..„ \tt�\� — LEGAL DESCRIPTION — SEE ATTACHED * 2 15:0 0 LOT J OCK SUB4�VIVION 5 PARCEL NUMBER/S * 2 1 JI 0 0 6 2. f` - N\\\\ Lk. ..,,^j LS S<4-3 1d- OWtNER PHONE �� E * 0 0 0 U 3. 1 -- \\\\�N T\IN:q l'A ‘ C (1,91-1.1...S.3 Lor/ -.C3�_K�3 /,�.�.✓/ -uJ .c 7-A7 5 7 5 7 2 DRESS \ ZIP Required Set Backs F et 1-2,41/ X715 -.2.7 fit..-4- it,, , ge7: .[l 17 North .�6`IS.ut Easf'Zo (West 1 0— 1 1 -7 9 CONTRACTOR PHONE Size of Parcel Zone Classification •. ". s 4' Z i- -t� O, 6 �-\ (31 S Ii N iZ�,-;7,44,‘z' .4 2 6 4 7 9. ADDRESS ZIP Type Const. Occupancy - SSprinklered \CV-k `Z st\.-ite f Oyes Cc'o ❑ Req'd. DESIGNER ?__,` PHONE Valuation�� Building 5Area in Sq. Ft. 04.4 . ADDRESS \ ZIP D Q rea B ement Area G r ge Area 7 Storage CHANGE OF USE FROM TO Sp it Entry Split Level Rancher 6. No. Baths No. Floors No. Rooms RecNRoom TYPE VNEW ❑ ALT. CI AD'N. CI RPL. ❑ MVE. } I � G 7 OF ,.,/ ❑ OTHER - CERTIFICATE Req'd. Recd. Not Req'd. WORK SALD. ❑ PLMB. 111 MECH: CI M.H. ❑ POOL of EXEMPTION X DESCRIBE WORK i V Qh FEES COLLECTED ALUATION Source GASS 1 ELECTRIC (,WATER SEWER 9. � C��v y Sproinklw'W` W 4) E TjV� �� k(,C Single $- — I hereby certify that I have read and examined this application and have read the "NOTICE" provisions included ` , r 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 law regulating construction or the Plumbing performance of construction. DATE / -'7.-7. -` SIGNATURES J, 't' ` "---j (r.---' I Mech. SPECIAL APPROVALS SPECIAL CONDITIONS: DEPT. w REQ'D. REC'D. Plan Check Env.Health /0//i / —1/2,4W— Q1 r SEPA Planning w — w CL. Mobile Home cn Fire Marshall z Co. Engineer Other (Specify) UtilitiesGi© TOTAL Zone Clearance WHEN MACHINE VALIDATED IN THIS SPACE, SEPA Checklistry THIS BECOMES A PERMIT. ()N MAP DAT 50 79 OFFICIALA 4 Lair .c 10'-- 1 1 -7 5'7'5, •8 z 15. 0 0 0 APPROVED FOR ISSUANCE i IlF)