1979, 08-10 Permit: 79-1952 ResidencePLAN NUMBER
d
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 ADDRESS
1.
LOT
2.
BLOCK SUBDIVI ION
E.7014 033'0`vn A
J L) Y 060 ,06 %Si
OWNER
3. EVP3 rNWsy��i-j
ADDRES' 5WV ri-r
CO}���TN/R�ACTOR 1��
ADDRESS1 —
CC��rr���/ggJJ �p P 1 1
5.
DESIGN Ek
ADDRESS
LEGAL DESCRIPTION — SEE ATTACHED
NE -24-2,7 _24 )7
.1920
PARCEL NUMBER/S
I���-11M
g0 \1
Required Set Backs i Feet
North ISouth9"
—
—IF7
Z
ZJ20'3
PHONE
ZIP
Size of Parcel
ype Const.
Valuation
CHANGE OF USE FROM
6.
TO
East 'West
Zone Classification
Hc- J
Occupancy Sprinklered
❑Yes ❑No ❑ Req'd.
Building Area in Sq. Ft.
3 o
rfkI Basement A a. Garage Area
try
eve
Spl �l�('I{ Cj
Storage
Rancher
TYPE
7. OF
WORK
19 W
L D.
❑ ALT. 0 AD'N. ❑ RPL. ❑ MVE.
0 OTHER
0 PLMB. 0 MECH. 0 M.H. 0 POOL
No. Baths
No. Floors
No. Rooms
Rec. Room
CERTIFICATE
of EXEMPTION
Req'd.
Rec'd.
Not Req'd.
DESCRIBE tORK
8. X11 IJ rAM L�
VALLUA ION Source
9. C/ L D d V of
Utilities
G✓
ELECT�.YC
q/ATER
P1.1131,1&
SEWE
G✓ G
I hereby Artify 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.
3 ti
j
DATE ? - � - / ( SIGNATURE�L^�' ' — ' 1 '
DEPT.
SPECIAL APPROVALS
REQ'D. REC'D.
Env. Health
Planning
Fire Marshall
Co. Engineer
Utilities
Zone Clearance
SEPA Checklist
SPECIAL CONDITIONS:
UAr2Ji t
1-5 +FLA
Ir 00Jlll%
i7<GC r 8-371
FEES COLLECTED
Single $
Building
Plumbing
Mech.
Plan Check
SEPA
Mobile Home
Other (Specify)
146.00
TOTAL
$
PERMIT NUMBER
DATE
02* *14600
*14600
*1461006
A *Q00
195.11
08-10-79
2 6,479.
0
1-
- —
0
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
08-10-79
195,22 *146002i /.