1979, 08-14 Permit: 79-2143 Demo Residence APPLICATION/PERMIT PERMIT NUMBER I
PLAN NUMBER I 'S/4,3
I I �
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509) 456-3675 DATE _ i4/1l
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 4 COPIES 0 2 * * 5.0 0
* 5.00
JOB ADDRESS ,t"y/ -y {'n LEGAL DESCRIPTION — SEE ATTACHED * 5:0 0
1. , % G'B BLOCK / IV i� ifG PARCEL NUMBER/S -9/so—#,— o 6, /
LOT (SUBDIVISION E * 0 0 0 C7
,c 1<573.;3 4".>' �..E�S .ebur ,��.�,/7
2. ^ PHONE ,y t�
NER -yy- Li ,9� �1 �/�Al/.T✓� 2 2
3
ADDRESS
ZIP
Required Set Backs in Feet 0 8 1 4—7 9
fi
` TOG j ie Q r k �9, North 'South East West 0 6 4 7 9.
7 PHONE Size of Parcel Zone Classification
C NTRACT R
(�-1 y. " •-yes . , t..�1:
..ADDRESS� Type Const. Occupancy Sprinklered
4' /) ZIP
�/� y g� ❑Yes ❑No 0 Req'd.
L DESIGNER ��� J l� PHONE Valuation Building Area in Sq. Ft.
7,:)—‘) /
5.
ZIP DWL Area Basement Area Garage Area Storage
ADDRESS f I I
��SU
CHANGE OF USE FROM ITO Split Entry I Split Level I Rancher
6. No. Baths I No. Floors J I No. Rooms I Rec. Room
TYPE 0 NEW 0 ALT. 0 AD'N. 0 RPL. ❑ MVE.
7. OF , OTHER CERTIFICATE Req'd. I Recd. rot Req'd.
WORK 0 BLD. 0 PLMB. 0 MECH: ❑ M.H. ❑ POOL ai-4d1.44- of EXEMPTION X.
i DESCRIBE WORK ,
8. 1_ C:i-W e-/- 1?-g4.-G,664'461.' FEES COLLECTED
VALUATION Source GAS ELECTRIC WATER I 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 Plumbing
performance of construction. ve„..6.4._"
DATE g—'/'`� — 7 SIGNATURE ,��}LA1.)-4^uk-.) C-0--' / Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS: Plan Check
DEPT. REQ'D. REC'D.
C
Env.Health SEPA c
L
C
Planning .
Mobile Home .
Fire Marshall
Other(S�pec )
Co. Engineer
Utilities TOTAL $ c.)"
Zone Clearance WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT. Z n47 * 5.002
4' oO t
SEPA Checklist O u -14 -7 i , z
DATE OFFICIAL
APPROVED FOR ISSUANCE