Loading...
1979, 11-02 Permit: 79-7243 ResidencePLAN NU ER 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 1. 2. JOB ADDRESS LOT • B �C7 B 1/ I K /� f/ 3.!� !li to/.S R ESS /J 7 CO TRACTOR eaAtiog-/7 &e. LEGAL DESCRIPTION — SEE ATTACHED DIVISION 4. Tit) • e v :e.,0 Addis;, P ONE O P(®®( PH NE PARCELNUMBER/S ^ / '/�_ D)//3 Required Set Backs in Feet North ! ISouth Y2 Size of Parcel x9 East 'West 20 ADDRESS ZIP Type C^onn t. /V ie - Occupancy Zone Clas fication / eiq /leS Sprinklered ❑YesNo ❑ Req'd. DESIGNER 5' ADDRESS PHONE ValuatiopA ZIP DWL Arla rBai ment Area Building Area in Sq. Ft. Garage Area J7 — Storage CHANGE OF USE FROM 6. TO Split En Split Level Rancher TYPE 7. OF WORK NEW BLD. ❑ ALT. ❑ PLMB. O AD'N. O MECH: O RPL. O M.H. O MVE. O POOL ❑ OTHER No. Baths No. Floors No. Rooms Rec. Room CERTIFICATE of EXEMPTION Req'd. Rec'd. SCRIBE RK 8. , 5; VA UATISource 9.11.bo © AC -5 of Utilities az GAS ELECTRIC VerA U WATER 4, A Sep7SEWER 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 DEPT. SPECIAL APPROVALS REQ'D. REC'D. SIGNATURE Env. Health 4960 Planning Fire Marshall Co. Engineer Utilities Zone Clearance SEPA Checklist SPECIAL CONDITIONS: A))//:411; ) / / DN ,! 4-5 ye-f�o6,2voeelm t,/ Crkfri,wk444rst",, ccsses Voley / L)e y DATE /©/D OFFICIAI�Iii( yt2i. Not Req'd. ot< FEES COLLECTED Single Building Plumbing Mech. Plan Check SEPA Mobile Home Other (Specify) TOTAL $ PERMIT NUMBER 7,-7,2 z3 DATE 02* *27800 *27800 V) *278.00 *000 0 B 72428 11-02-79 g 6479. WHEN MACHINE VALIDATED IN THIS SPACE, THIS BECQMFES A_P€I'MIT. 7 7 4 3 0 *.217.8. 0 0'a INCPFrTnr