1979, 10-05 Permit: 79-5423 Barn PLAN NUMBER APPLICATION/PERMITPERMIT BER'
�te � 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
JOB ADDRESS *3 2 0 0
1 16 I�2... , h L LEGAL DESCRIPTION - SEE ATTACHED 0 2*
* 32.00 N
LOT BLOCK SUBDIVISION PARCEL NUMBER/S 1 *4'�-. .�9--
2. 4 A i�j o w I- rrs��r1'4r--, rhi.imy C�1 * 3 2 0 0
OW3. ADD
DNER 1/ ` j f�'f, -r I V•`q�Lct .P E 1$33 E * Q00 0
S66 }�� J,/{� �,��( ZIP i Required Set Backs in Feet /)
1712
,f Y V WL106/ LV I ,',�Y North 'South East 'West 1 `�c.•
5 4 2 2 1� C �7 f�
CONTRA PHONE Size of Parcel z Zon Lca ion 0_0 J— / y
mtf.
4.
ADDRESS ZIP Type Const. Occupancy Sprinklered Q Q 7 9,
/V M ' 3 ❑Yes �'No ❑ Req'd.
DESIGNER PHONE Valuati n Building Area in Sq. Ft.
5. 43000 72° —
ADDRESS ZIP DW /
I Basement Area Garage Area Storageag�
C.f-Z)
CHANGE OF USE FROM TO Split Entry Split Level Rancher
6.
_/ No.Baths No. F7ors No. Rooms Rec. Room
TYPE ® W CI ALT. CI AD'N. CI RPL. ❑ MVE. /
Rec'd. Not
7, OF ❑ OTHER Req,'d.
WORK BLD. CI PLMB. 0 MECH: CI M.H. ❑ Req'd.POOL CERTIFICATE /``/
of EXEMPTION
DESCRIBE WORK
8 p. hrr / I (2..Q �& FEES COLLECTED
VALUATION /��hf Source GAS ELECTRIC WATER SEWER
9. e aof
Utilities Single $
—
I hereby certify that I have read and examined this application and have read the "NOTICE" provisions included 2`®
on reverse side, and know the same to be true and correct. All provisions of laws and ordinances governing this Building 3
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 c,nstyuction or the
performance of construction.
Plumbing
�r
DATE ` / G/— 77 SIGNATOR../� J
_ i i. r 4: Mech.
SPECIAL APPROVALS SPEC+AL C OIC •N 11 f I 19 Ii I r Plan Check
DEPT. REQ'D. RECD. G 1.T- IN V'✓ I`I
Env. Health 7 �//7 � '�[.r ' �s�� ,„
Planning Cv ,r /! ���� AN{ ,l �Vr�-iii 1Y�W i7[/i SEPA
�V `J
Fire Marshall Lu
Mobile Home
19 INN tliN'
Co. Engineer Other (Specify)
Utilities
TOTAL $
Zone Clearance
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist ( ij ) THIS BCOP,(IE,SIA pE ftmIT. _
DATE 1-e%'' OFFICIAL -7 i i t. / / 7N.' d_i.-(-c-. -
,i
APPROVED FOR ISSUANCE _
-310-11
-&
-»vA ,id 3dinvod
.1-1
-6041A
1QQ�