1979, 09-05 Permit: 79-3398 Residence PLAN NUMBERAPPLICATION/PERMIT .-,,- PERMIT NUMBER 1
/35,-- SPOKANE COUNTY — BUILDING CODES DEPARTMENT 19 33-7a
NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509) 456-3675 DATE 6-t , /7�(42
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 4 COPIES
03 * * 54.00
JOB ADDRESS LEGAL DESCRIPTION - SEE ATTACHED
1. F. 4903 1th Avenue * 5 4.0 0 N
LOT BLOCK SUBDIVISION PARCEL NUMBER/S * 5 Q.0 0y
2. 1 1 Snoo ' s First Addi ti nn
OWNER p. PHONE A ,� * GOO 8
3. N.W. Const. Services & Assoc, , Inc. _ 922-1705 Ptn. of 23544-0705
ADDRESS ZIP Required Set Backs in Feet 3 3 9.7 2.
N. 708 Argonne Suite G 92206Norf� (South 30 East 28 'West /0 I 0 9-0 5 7 9
CONTRACTOR PHONE Size of Parcel Zone Classification
Same 80 X 12 SJ NGL-E... FAMILY Rrzs 2 64 7 9
4' ADDRESS ZIP Typeonstw., Occupancy Sprinklered
Fre"Y /2,- 3 Eyes KNo ❑ Req'd.
DESIGNER PHONE Valuation Building Area in Sq. Ft.
5 52,000 1,052 _
ADDRESS ZIP DWL Area Basement Area Garage Area Storage
1,052 I 26 Non
CHANGE OF USE FROM TO Split Entry Split Level Rancher
6. XX
No. Baths No. Floors No. Rooms Rec. Room
TYPE LA NEW ❑ ALT. ❑ AD'N. ❑ RPL. ❑ MVE. 1 2 7
7, OF ,/ ElOTHER
L?7 BLD. ❑ PLMB. ❑ MECH: ElM.H. ❑ POOL CERTIFICATE Req'd. Rec'd. Not Req'd.
WORK v
of EXEMPTION
DESCRIBE WORK
8 FEES COLLECTED
Single Family Residence - No garage - No deck
VALUATION Source GAS ELECTRIC WATER SEWER
9. 52,000.00Uti of
WWP Vera Vera Septic 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 * o0*,....5-/k. xx
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.
DATE of/ 7/7/ SIGNATURE '. w Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS:
DEPT. REQ'D. REC'D. khili t Plan Check
Env. Health Q1-2O-'
01\A MPt " =
f,51.„7 O -(P_(_ SEPA I—
cD
w
PlanningLI
a
Mobile Home z
Fire Marshall —
Co. Engineer Other (Specify)
Utilities
TOTAL $ _
Zone Clearance
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist / �//, THIS COr�IErS,A RE,pMIT. 3 3'9, 8 °z *5,4.0 0 a
DATE 8,40 OFFICIAL -l- l . ,L c; _ JJ 77 / y
APPROVED FOR ISSUE -