HomeMy WebLinkAbout1979, 10-01 Permit: 79-4989 Carport PLAN NUMpit,''''R APPLICATION/PERMIT (PERMIT NUMBER I
/C _3/15- 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 0 2 * * 1 3,0 0
JOB ADDRESS DESCRIPTION - SEE ATTACHED * 1 3.0 0 CO
1. p q2 d LUc 13 L,A►,J,0 4 9 8 8
LOT BLOCK SUBDIVISION� PARCEL NUMBER/S iJ �7oq
2. { I •U'{ , l r) -L,
A- -72.-5F7,4c__&----c__&---- L 4 4r' 1` !� 1 0-0 1 -7 9
OWNER PHONE
3. 12)(:)4417-- h . -Tri--)7--) 924-3192 6479.
ZIP Required Set Backs in F et
•ADDRESS AT -- I ' ` J ,%1 f„IZP' �„I4 '' '2/
% North (South) East 'West .35
CONTRRA/CTORG.� f� YV(�/I/I/�11/v PHONE C.l' Size of Parcel Zone Classific tion
1..11414i3 -
4. ADDRESS ZIP Type Const. Occupancy S rinklered
Oyes ❑No ❑ Req'd.
DESIGNER PHONE Valuation BuildinArea in Sq. Ft.
5. ZIP DWL Area I Basement Area G e Area I Storage
ADDRESS 1
CHANGE OF USE FROM TO Split Entry Split Level CJ Rancher
6.
No. Baths No. Floors No. Rooms Rec. Room
TYPE ❑ NEW yl.ALT. ❑ AD'N. ❑ RPL. ❑ MVE.
7. OF ❑ OTHER CERTIFICATE Req'd. Recd. Not Req'd.
WORK 14.BLD. ❑ PLMB. ❑ MECH: ❑ M.H. ❑ POOL
of EXEMPTION
D CA q`Coi IBF WORK ! �ur
8.
�
) FEES COLLECTED
VA�L/L/UJ(ATIION f4 SourceGAS ELE(/XCkIC WATER �j SEWER
9 72 6—. e._7(:-...) Utilities �0"2TE ' 'G Single $ —
I hereby certify that I have read and examined this application and have read the "NOTICE" provisions includedI�/eO
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 anting of a permit does not presume
to give authority to violate or cancel the provisions of any other st or I al law regulati cons uction or the Plumbing
performance of construction. n
DATE 9--a 6 9 SIGNATURE C.
Mech.
SPECIAL APPROVALS SPECIAL CONDI
C I
DEPT. REQ'D. RED. v ' Il Plan Check
Env. Health
9/ 7C67-4-1,-,-, 6Alib
' Al.- -(969
C 9- SEPA re
_�
Planning n
n
Mobile Home (4
Fire Marshall
Co. Engineer Other (Specify)
Utilities TOTAL $
Zone Clearance
WHEN MACHINE VALIDATED IN THIS SPACE,
Cn�M" S A MIT. p
SEPA Checklist t _. / / THis B U; U O `. 0. 7 z.. * 1 !). 0 (}U,co)_.f
DATE OFFICIALA l'- { [ ✓ ` I , ( 1
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APPROVED FOR ISSUANCE -
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