1979, 07-19 Permit: 79-771 AC PLAN NUMBER APPLICATION/PERMIT PERMIT-NUMBER ' '
SPOKANE COUNTY — BUILDING CODES DEPARTMENT 77L/} 77��//////
NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509) 456-3675 DATE /, - //
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARn TO MAKE 4 COPIES
04 * * 700
JOB DDRESS
7 /-e J '1/J�� ) � LEGAL DESCRIPTION — SEE ATTACHED * 7.0 0 to
LOT BLOCK SUBDIVISION PARCEL NUMBER/S * 7.0 0 U
2
OWNiElt PHONE A * 0.0 0 cp
U
3. Ao REss?%�, _sC,, X'-' -e ��L v. �� I P .`liy
/-J 7 7.0 2
/J Required Set Backs in Feet
„Ai/ }e:-64(..44—, e, North !South [East West 0 7- 1 9-7 9
CON RACTOR {; PHONE Size of Parcel Zone Classification
es1'-._, - r-fid L/ %--//7�J 2 6479.
4' ADDRE ,�r1 ,/� ZIP Type Const. Occupancy Sprinklered
/� 3 "�O 7 9 ° Elves ❑No ❑ Req'd.
DESIGNER �. ' �+ PHONE/ / Valuation Building Area in Sq. Ft.
5' ADDRESS ZIP DWL Area I Basement Area Garage Area I Storage
CHANGE OF USE FROM TO Split Entry Split Level Rancher
6.
No. Baths No. Floors No. Rooms Rec. Room
TYPE Cl NEW ❑ ALT. ❑ AD'N. Cl RPL. ❑ MVE.
7. OF ❑ OTHER
WORK CIBLD. CIPLMB. lit.MECH: CIM.H. ❑ POOL CERTIFICATE Req'd. Rec'd. Not Req'd.
of EXEMPTION
DESCRIBE WORK ,�ct ..8 __ trIZZ- Comam�/-e��L.L/t✓' FEES COLLECTED
VALUATION Source GAS 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 regulating construction or the
performance of construction. Plumbing
DATE SIGNATURE_ Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS:
DEPT. REQ'D. REC'D. Plan Check
Env.Health
SEPA O
I-
Planning w
d
Mobile Home
Fire Marshall z
Co. Engineer Other (Specify)
Utilities TOTAL $ , ~.
Zone Clearance — _
/ WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist DATE-(17/79'
ATE��! �� OFFI i THIS 0�COMI F,S A 7E,fiMIT.
l ��9 y9 77,12 * 7.00 ° _,
l
APP'. _; FOR ISSUANCE