HomeMy WebLinkAbout1979, 10-11 Permit: 79-5775 Demo Residence PLAN NUMBER APPLICATION/PERMIT PERMIT NUMBER I
SPOKANE COUNTY — BUILDING CODES DEPARTMENT 79-5 7 7,5-
NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509) 456-3675 DATE JO---7//-7//- ..7
APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 4 COPIES
02 * * 1000
JOB ADDRESS 7���� f LEGAL DESCRIPTION - SEE ATTACHED
1. .2 -Z �; 6� L. * 1 0.0 0
L T BLOCK iff�D1 SI N PARCEL 1NU/��MBER/S//STS j LL.�:`]',� •7 /, �1
2. PHONE At /�oC.,il V � e �J 7/34,K /Z7 14 - 1 1 -7 7
OW ER - /,, _ ff
3. (Ij AI I L A, i,f?i1/�ta-iA 1: -7 9g R q RPi A ed Set(B tks Feett) rt_-) r1o7Ch+/NAS 6 4 7 9,
ADDRESS ZIP
l -'7 / /, /fid , ti�Q f] ��ji� ^ qq--� �� North ISouth East IWest
CONTRACTOR PHONE Size of Parcel Zone Classification
'6‘f44-1'13
4' AD[0q4�,1RESS ZIP Type Const. Occupancy Sprinklered
. i ❑Yes ❑No ❑ Req'd.
DESIGNER PHONE Valuation Building Area in Sq. Ft.
s
�i
5. ZI P DWL Area Basement Area Garage Area Storage
ADDRESS
�"
CHANGE OF USE FROM TO Split Entry Split Level Rancher
6.
q �y`�� No. Baths No. Floors No. Rooms Rec. Room
s°
TYPE ❑ NEW ❑ ALT. ❑ AD'N. ❑ RPL. ❑ MVE. , - 'Y7, OF ldJ OTHER CERTIFICATE/ Req'd. Recd. Not Req'd.
WORK ❑ BLD. ❑ PLMB. ❑ MECH: ❑ M.H. ❑ POOL
of EXEMPTION
DESCRIBE WORK ,
8. r 1-ACJ ,J ya GA
FEES COLLECTED
VALUATION S S
ELECTRIC WATER SEWER
of
9. 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. The granting of a permit does not presume
to give authority to violate or cancel the provisions of any other state or local law re atin onstruction or the
Plumbing
performance of construction.
SIGNATURE 4(4—t-2 /. /�� 'Z
DATE /c 1 /�-7 ATUREMech.
SPECIAL APPROVALS SPECIAL CONDITIONS:
DEPT. REQ'D. REC'D. Plan Check
Env.Health CC
SEPA o U
Planning — 0'�
0
Mobile Home ca)
Fire Marshall
Co. Engineer Other (Specify)
Utilities ,/i9TOTAL $ /'2' —
Zone Clearance
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist ,�`I �' THIS BECOMES A PERMIT. �7
DATE✓'1/-1/ /X A.! ai 1 0 - 1 1 - 7 9 5y/,7. 5 5 * 1 O.0 0 d
APPROVED FOR ISSUANCE -