1979, 07-19 Permit: 79-727 AC PLAN NUMBER APPLICATION/PERMIT PERMIT NUMBER
SPOKANE COUNTY - BUILDING CODES DEPARTMENT "- 7
NORTH 811 JEFFERSON / SI'OKAN ,,WASHINGTON 99260 / (509) 456-3675 DATE July 18, 1979
APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 4 COPIES 0 4 * * 7,0 0
JOB ADDRESS WALNUT ROAD, N. 1716 LEGAL DESCRIPTION - SEE ATTACHED * 7,0 0 N
1.
LOT BLOCK SUBDIVISION PARCEL NUMBER/S * 7.00
2 A * 0.00
OWNER PHONE •
3. RFX F. SMITH 928-4180 7 2 5 2
ADDRESS ZIP Required Set Backs in Feet
SAME North 'South East (west 0 7— 1 9—7 9
CONTRACTOR PHONE Size of Parcel Zone Classification 2 6 4 7 9
BOYLE FUEL CO. 128-1521
4' ADDRESS - ZIP Type Const. Occupancy Sprinklered
N. 1014 Division TAF C-28 99220 ❑Yes 0 N ❑ Req'd.
DESIGNER PHONE Valuation Building Area in Sq. Ft.
5. ADDRESS ZIP DWL Area Basement Area Garage Area Storage —
CHANGE OF USE FROM TO Split Entry Split Level Rancher
6. No.Baths No. Floors No. Rooms Rec. Room
TYPE El NEW ❑ ALT. El AD'N. ❑ RPL. ❑ MVE.
7. OFr-� 1:1OTHER CERTIFICATE Req'd. Recd. Not Req'd.
WORK
El BLD. El PLMB. CX MECH. CI M.H. ❑ POOL
of EXEMPTION
DESCRIBE WORK FEES COLLECTED
8. Air Conditioner
VALUATION Source GAS ELECTRIC WATER SEWER
9. Utilities XXXXN 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 regulating construction or the
Plumbing
performance of construction.
DATE SIGNATURE_ Mech. 7.00
SPECIAL APPROVALS SPECIAL CONDITIONS:
DEPT. REQ'D. REC'D. Plan Check
Env. Health '-
SEPA r-D
W
—
Planning Ca
2
Mobile Home
Z
_
Fire Marshall y
Other (Specify)
Co. Engineer
Utilities
TOTAL $ 7.00
Zone Clearance
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
DATE//
SEPA Checklist '7II ,/ �-jJ/ 9 OFFICI oc�-' 0 7 -1 9--7 9 7 2,7 ( i1* 7, 0 0 '-
'
-
// APPRO FOR ISSUANCE