1979, 08-20 Permit: 79-2466 Residence LAN NUMBER ' PERMIT NUMBER
APPLICATION/PERMIT
�— _ ''7 -SPOKANE COUNTY — BUILDING CODES DEPARTMENT �
NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509) 456-3675 DATE
APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 4 COPIES
02 * * 1 04.00
1 �SpB��OR�Ess /�i / LEGAL DESCRIPTION - SEE ATTACHED * 1 04:00
tn-
. LOT BLOCK SUB IVISION ,,, 6
' PARCEL NUMBER/S ��5/_.e),:3‘).
j9 * 1 0&00
2.
O ER PHONE LOTAA- 3i-K. A *Q00 Ov
3. ...3C-1-1.1,
L� ,..a1JL14—/ 12-#' HE-ATI/4W PAJ K. .4113
A DRESS
�/f ,{ �� ZIP y'y Required Suet Backs in Feet f x /
2465 A
e.�j/vs% JCl-dz./a"..Le. 24I .G.d- GHQ .., ‘-/‘/F:(Gi North /ac', South f East �7� IWestiv«2 08-20-79
CONTRACTOR ��Y 9'� PHONE Size of Parcel Z ne Classification
clo K/3-'
ADDRESS ZIP Type Const. Occupancy Sprinklered
.LLvf.V---. . Oyes ❑No ❑ Req'd.
DESIGNER PHONE Valuation Building Area in Sq. Ft.
3
5. ADDRESS ZIP DWL AreaBasement Area Garage Area Storage —
47G- I /4 % 600 ,
CHANGE OF USE FROM TO Split Entry Split Level Rancher�
6. \No. Baths No. Floors No. Rooms Rec. Room
TYPE kl NEW ❑ ALT. ❑ AD'N. D RPL. ❑ MVE. 2 "`'
7. OF ❑ OTHER
WORK 14 BLD. ❑ PLMB. ❑ MECH. ❑ M.H. ❑ POOL CERTIFICATE Req d. Rec'd. Not Req'd.
of EXEMPTION X
DESCRIBE WORK
Xii
P ,1 E, /;Z FEES COLLECTED
VALUATION Source /� GAS �E/LEC�iTRIICC vf1WA�TEER .�f1 SEWER
9, '— Utilities , -
,' Single $
I hereby certify that I have read and examined this application and have read the "NOTICE" provisions included efZ,
on reverse side, and know the same to be true and correct. All provisions of laws and ordinances governing this Building rf D
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
performance of construction. Plumbing
_ h
DATE g—49- 7-9 SIGNATURE ' , la_ A Mech.
SPECIAL APPROVALS SPECIAL /• DITIO S:
DEPT. REQ'D. RECPlan CheckD. 'w p
Env.Health FLAW 0)C a _� l L_�1
—r, , CC
,_' /-/ –- ice, t t_ F t 1i SEPA o U
Planning _ w
Mobile Home c.,
Fire Marshall z
Co. Engineer Other (Specify)
Utilities 0
TOTAL $ /4A'-
Zone Clearance
i WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA ChecklistTHIS BECOMES A PERMIT.
DATE 4$ - - 08 - 20 -79 '2. 46.6 * 104. 00ai-
A'I"*. D FOR ISSUANCE _
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