1979, 10-03 Permit: 79-5202 Residence1♦
PLAN NUT
APPLICATION/PERMIT
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 4 COPIES
JOB ADDRES5/J
1.
.1/GP /S-
BLOCK
LOT`
2j, -IJ
LEGAL DESCRIPTION - SEE ATTACHED
SUBDIVISION
_ CYr hope J�/-•
OWNER
3. 8o h 4'; __N
PHONE
ys& -JC)3
PARCEL NUMBER/S LY /0 ANA W. /D'UF
ARNHOP.E.40P • ko-
Z. 35 3 2- 3003
ADDRESS
9>Z 3 Sro,9t,,
CONTRACTOR
IppJ c �ci �; 1 S !7 u CS S
4. ADDRESS
E c/>2 3 S//-et7
DESIGNER
5' ADDRESS
ZI P
99Z�'C
PHONE
y5 x_90/3
Required Set Backs in Feb ,5- '
North 6— ISouth East / West /
Size of arcel Zone Classification
fiU X 1.3 s
Rrct.4L-Tu RILL--
ZIP
PHONE
ZIP
CHANGE OF USE FROM
6.
TO
Type Const.
VSA/
Occupancy
-3
Sprinklered
Elves o ❑ Req'd.
Valuat
io4.5, 006 —2
DWL Area / Baseme�nnt/%9.rea )Garage Area
VEY
it EF y Split Level
Building Area in Sq. Ft.
Storage
Rancher
TYPE
7. OF
WORK
X NEW
pi BLD.
❑ ALT.
❑ PLMB.
❑ AD'N.
❑ MECH:
❑ RPL.
❑ M.H.
❑ MVE.
❑ POOL
❑ OTHER
No. Baths
No. Floors
A
CERTIFICATE
of EXEMPTION
No. Rooms
Req'd.
Rec. Room
Rec'd.
Not Req'd.
K
DESCRIBE WORK
8. ,,l Kl
VALUATION
9. 5—»odd°,v
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
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.
DATE `7 . �'U 1 `I 7 SIGNATURE
Source
of
Utilities
Q ;l
CTAS
ELECTRIC
xICA r
c e.
WATER
SEWER
S e 9
SPECIAL APPROVALS
DEPT. REQ'D.
REC'D-
Env. Health
Planning
Fire Marshall
Co. Engineer
Utilities
Zone Clearance
SEPA Checklist
SPECIAL CONDITIONS:
DATE �j-L / OFFICIA
APPROVED FOR ISSU
FEES COLLECTED
Single $
Building Z 2 4 �`
Plumbing
Mech.
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL
o
DATE
6
PERMIT NUMBER
02* *20600
* 20600
* 206006
E *0,00 8
520,12
10-03-79
2 6479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
5'2'0.25' *206.0'0
LOT 10, AND.
W EtT LO F E•E T
OF LOT 11,
BLOCK 1,,
CARNHOPE ADD
51.H
r
4
ZR.