1979, 08-14 Permit: 79-2139 Demo Residence PLAN NUMBER APPLICATION/PERMIT PERMIT NUMBER 1
SPOKANE COUNTY — BUILDING CODES DEPARTMENT 7 c:9—:2_/,-
NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509) 456-3675 DATEF —/4—7G1
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 4 COPIES 0 2* *5 d 0
JOB ADDRESS ` LEGAL DESCRIPTION — SEE ATTACHED *5.0 0 N
1. E </%/aJ 4" , (--(4:1-e-
:1--k /-',.
LOT I BLOCK SUBDIVISION PARCEL NUMBER/S ,,.�, ..C4 _,,,. ..7,,,,:, * /5.0 0 U
2. WNER n PHONE 1,(71,:-./2_‘,X (,C,"'v�/� ..-, ��t....G" I AC2-R E *O.0 O
3. .k!/.4.1.&L. "C- Y2.. X92C fC) ,( 5.5 '�tl�J &Jr177 OPPdR'TOatf/7 - U
ADDRESS �°, ZIP Required Set Backs in Feet n
''77, q � f::,/, 'W../4: '19A )!O North South East West 0 8— 1 4—7 9
CONTRACTOR PHONE Size of Parcel Zone Classification
4. ,• -71/1,,,Q �� �,e;, 9..z6-g,.5s ` 6(.,c(, ta,z�.1 f 6 4 7 9.
ADDRESS ZIP Type Const. Occupancy Sprinklered
�7f ,j�Q . 4Lz A I 9gr,2.de,-- ❑Yes ❑No ❑ Req'd.
DESIGNER PHONE Valuation Building Area in S . Ft.
5. 7,..-5- )
ADDRESS ZIP DWL Area '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 D ALT. ❑ AD'N. El RPL. ❑ MVE.
7. OF 1Z OTHER -
CERTIFICATE Req'd. Recd. Not Req'd.
WORK ❑ BLD. ❑ PLMB. ❑ MECH: ❑ M.H. ❑ POOL j'✓ec of EXEMPTION
DESCRIBE WORK ' FEES COLLECTED
11
8.
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 —11*—0 el SIGNATURE Ec&A J1.4. CT) /‘1"t- Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS:
DEPT. REQ'D. REC'D. Plan Check
Env.Health cr
SEPA r-.)
Planning — U
iJ
Mobile Home 'n
•
Fire Marshall
�'' _
Co. Engineer Other (Specify) `-"�)`)
Utilities t^
TOTAL $ 6"2 a
Zone Clearance
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist THIS B COMES A PERMIT.
0 - 14 -792 13, 95 * 5, 001-
DATE OFFICIAL
APPROVED FOR ISSUANCE -