1979, 12-18 Permit: 79-9269 Duplex PLAN NUMFSt. APPLICATION/PERMIT PERMIT NUMBER� qV6' ^
SPOKANE COUNTY — BUILDING CODES DEPARTMENTRZ-�' `
NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509) 456-3675 DATE 12 " it----77
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 4 COPIES
U2 * * 32800
JOB ADDRESS LEGAL DESCRIPTION — SEE ATTACHED
1. E. 6800 -- ilit 68/0 /1 TN AVE * 32400
LOT BLOCK SUBDIVISION PARCEL NUMBER/S 2-�(5311 Zo 2
T T3L 8. 00
2. 2 W A>_►._Ac� pl g s r ADD f1W 4 y
OWNER Q ,w t,..-Q� PHONE/ 1 E [ >ti' 0. C
3 R.OBER-T C. MAm'• - wZ4-03!� Required SejacksinFeet S�j 9GU, �j�
ADDRESS ZIP
E-. 710 1 2_Tr l S nQ RQ2O2.— North i10 (South East V IWest 2v-
CONTRACTOR
V 2- 8-7 9
CONTRACTOR tJ� { PHONE Size of Parcel Zone Classification
Ra-r14BEV FLoPS MF-MT" 4-corks-rn►AcTtan/ 9.2_91-20 91 1 I o' X 3o 3,R 3 ' -twd FP►MI Ls 6 4 7 9,
4' ADDRESS ZIP Type Const. Occupancy Sprinkler d
e --. to)7& FE2R,ET D12.10E- S19MM 9'12.J06 V-N g--3 ❑Yes ❑No ❑ Req'd.
DESIGNER PHONE Valuation Building Area in Sq. Ft.
06Siso� ,. ,..q_0 —
5. ADDRESS ZIP DWL r e a Basement Area Garage Area Storage
168o 13o �o •..''"' 6+f-
CHANGE OF USE FROM TO Split Entry Split Level Rancher
6. X ,___
;r No.Baths No. Floors No. Rooms Rec. Room
TYPE ) NEW ❑ ALT. ❑ AD'N. ❑ RPL. ❑ MVE. lib 41- ' ,�
7. OF �� CI OTHER CERTIFICATE Req'd. Recd. Not Req'd.'
WORMELD' ❑ PLMB. ❑ MECH: 0 M.H. ❑ POOL lJ
i of EXEMPTION
DESCRIBE WORK FEES COLLECTED
8. DUPLEX —G,RRG E
IAN/PE-g- —GF-cIG ik C}l D
VALUATION Source GAS ELECTRIC
WATER SEWER
of
9. t6SJSo�^ Utilities D.15 . SE,rTic
- Single $
—
I hereby certify that I have read and examined this application and have read the "NOTICE" provisions included 3Z�
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 f cons ruction.
DATE 121 I ill , ) SIGNATUR VdtMech.
SPECIAL APPROVALS SPECIAL CONDITIONS:
DEPT. REQ'D. REC'D. ON/ /4 Plan Check
Env. Health �f�� .y ry IVj7 / 1 p
� [i" `�/ /�� �/�f y q/"� �e-,5"b aac ) SEPA _
Planning TMex. Bt YD 4P Hoop A/4E4 U
Mobile Home 0)
—
Fire Marshall
Co. Engineer Other(Specify)
a,
Utilities TOTAL $ 300
2ac'
Zone Clearance
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist PL
w,%/516 ...,,, THIS lBECOMES A PERMIT. R
DAT•E�1.7-.-N0—M OFFICIAL 7M1�11k 1 2 `u1 " _7 9 2 6 9 C * 5 2 8. U0 W1. F
APPROVED FOR ISSUANCE -
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