1979, 10-31 Permit: 79-7049 Ductwork •
PLAN NUMBER APPLICATION/PERMIT PERMIT NUMBER )
SPOKANE COUNTY — BUILDING CODES DEPARTMENT fri --T, ✓ 7
NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509) 456-3675 DATE
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 4 COPIES n /1
JOB ADDRESS 04 * * 7.00
LEGAL DESCRIPTION — SEE ATTACHED
LOT r BLOCK SUBDIVISION PARCEL NUMBER/S * 7.00
1,0 0 U
2.
OWNER PHONE B * 000 8
3. G a t - t e.k c'�- ,Ax- '- 7/9
ADDRESS 5/0
` ZIP Required
Required Set Backs in Feet 704.8g
/.t 5 / e C 36-2 6 , .5,�40,t,:d,. e 4.-'q� 7/ ,Z North 'South East 'West Q v 7 9
C NTRACTOR ` PHONE Size of Parcel Zone Classification
4. it f 47z./4-i� Y i/r ' ,�y 4-c 7.fr /oc B 6479
ADDRESS �1 /' !/ ZIP Type Const. Occupancy Sprinklered
i /t( 7/U ii- 4r�cY/ 5;:leAlevr G:ftf � 1:1/4 Eyes ❑No Req'd.
DESIGNER J/ PHONE Valuation Building Area in Sq. Ft.
J. 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 El NEW ❑ ALT. ❑ AD'N. ❑ RPL. ❑ MVE.
7. OF LLL 111 OTHER
WORK ❑ BLD. III PLMB. A MECH. ❑ M.H. ❑ POOL CERTIFICATE Req'd. Rec'd. Not Req'd.
of EXEMPTION
DESCRIBE WORK FEES COLLECTED
8. ///_S / / Lr. L- )1,.,,,,, /`,(/
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
_ 7t
DATE 7' y l SIGNATURE / ,.e... -e•----
Mech. 3-c e'
SPECIAL APPROVALS SPECIAL CONDITIONS: (...--- 67,e r y G�/
DEPT. REQ'D. REC'D. JJn Plan Check
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e ,5 I
Env.Health /
C 4. 7/f /yf.4,4Cs,a c, Ta �i'!�✓Coa SEPA
I-
i
Planning > —
,eii i ^ t -__ 6e, Ja Y1,9it elL
c
L P f�t �L/ /� /7' Mobile Home -_
Fire Marshall ^
Co. Engineer ON /..•A/)4"`i 7--; lC f/OR- 4dk,s ' Other(Specify)
Utilities C6 A't e',°-• _ i to /� F.-toe-1,-
�1 TOTAL $ �' ee"?
0f /-o—S�'
Zone Clearance +��-,
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist fili �' ^ THIS BECOMES A PERMIT. Q�n (1 Z * 7.Q O a r
DATE
L054/9. OF- ALS 1 Q"5 —7 7
A"RI -i FOR ISSUANCE