HomeMy WebLinkAbout1979, 12-03 Permit: 79-8594 Sink PLAN NUMBER APPLICATION/PERMITPERMIT NUM R
9 1-t 1
SPOKANE COUNTY — BUILDING CODES DEPARTMENT -let— 'J
NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509) 456-3675 DATE
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 4 COPIES 3 * * 5,5 0
JOB ADDRESS 1
1 /1�J0,J,„/// / '/ ,/� LEGAL DESCRIPTION — SEE ATTACHED * 5.5 0 u,
LOT BLOCK SUBDIVIfI J PARCEL NUMBER/S * 5 5 0.
2 OWNERO PV!N E B *O'0 0 0
3. -/ C f _ a4, 4 9S_.
859.32
AD ESS z* Required Set Backs in Feet n
• /44/ �. /,L .6 W •
y��c� K� ' North (South East (West 1 2-0 3-7 9
CONTRA TOR ,,�� PHHNE Size of Parcel Zone Classification
': _ ' 6)L-4J'-GSC. 'S`,^'”/1 7) 2 6,1 7 9,
4. ADDR,E55—.) /) --� 7 7711pp Type Const. Occupancy Sprinklered
,,,.. �j. 7sr,1 j ❑Yes ❑No El Req'd.
DESIGNER ,��'' (� PHONE Valuation Building Area in Sq. Ft.
5' ADDRESS ZIP DWL Area I Basement Area Garage Area Storage
CHANGE OF USE FROM TO Split Entry Split Level Rancher
6.
No. Baths No. Floors No. Rooms Rec. Room
TYPE ❑ NEW ❑ ALT. ❑ AD'N. ❑ RPL. ❑ MVE.
7. OF ❑ OTHER -
WORK
I=1 BLD' `10,
d PLMB. 1=1MECH: CI M.H. CI POOL CERTIFICATE Req'd. Rec'd. Not Req'd.
,
of EXEMPTION
DESCRIBE WORK
8. f �� J FEES COLLECTED
VALUATION Source GAS EL - O RIC 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 �2.----
performance of construction. Plumbing
DATE SIGNATURE_ Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS: anw 4w=z>�
DEPT. REQ'D. REC'D. Pla !Che kSears, Roe'�'Ua 'C0:
Env.Health Cc
SE 41t4 c
��ov 28 1979
I-
-
U
Planning n
R1p Ct�1 I p Cl
Fire Marshall Mo Jnnfdllt; [Mail Store, 2
Co. Engineer Other(Specify) -
Utilities n
TOTAL $ i
Zone Clearance
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist THI B CO SA RMIT.
•
DATE�Z/3/7f`"' OFFICIAL 7)7V � 1 f� 8 5 9.4'5 5.5-0 a.�
APPROVED FOR ISSUANCE °""r