1979, 11-07 Permit: 79-7453 ResidencePLAN NU BER
r _4c
APPLICATION/PERMIT
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
JOB ADDRESS
1.
LOT
2.10
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 4 COPIES
-'r 91G>
2 East 17th Avenue Court
LEGAL DESCRIPTION — SEE ATTACHED
BLOCK
1
SUBDIVISION
Jan's Addition
PARCEL NUMBER/S
Portion of 26541-0203
3.
4.
OWNER
W. R, S. & Associates Inc
ADDRESS
2b So. Pines Rd
CONTRACTOR
W, R. S. & Associates Inc
PHONE
922-4022
2199206
PHONE
922-4022
Required Set Backs in Feet
North - 'South 3-JlEast ` IWest
ADDRESS
326 So, Pines Rd
DESIGNER
5. ADDRESS
2199206
Size of Parcel Age.,' /3S'
I of ecl . i8 /' 4'3 '
PHONE
Type Con* M
Occupancy
e-3.
Zoe Classification
JZL 4 z(2'
S7tirinklered
❑Yes E 0 ❑ Req'd.
Valu tion
$75,950.00
Building Area in Sq. Ft.
2205 inc deck
ZIP
1417 I Base' ment Area
Garage Area
572
Storage
CHANGE OF USE FROM
6.
TO
Split Entry
yes
Split Level
Rancher
TYPE
7. OF
WORK
1� NEW
g BLD.
❑ ALT.
❑ PLMB.
❑ AD'N.
❑ MECH:
❑ RPL.
❑ M.H.
❑ MVE.
❑ POOL
0 OTHER
No. Baths
2
No. Floors
1t
No. Rooms
6
Rec. Room
CERTIFICATE
of EXEMPTION
Req'd.
Rec'd.
Not Req'd.
8.
VALUATION
9. $75,950000
DESCRIBE WORK
Single Family residence with double garage
Source
of
Utilities
GAS
ELECTRIC WATER
Vera Vera
SEWER
Septic
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 9 SIG- NATURF
DEPT.
SPECIAL APPROVALS
REQ'D. REC'D.
Env. He Ith
q -//J' --79
Planni g
Fire Marshall
Co. Engineer
Utilities
Zone Clearance
SEPA Checklist
SPECIAL CONDITIONS:
DATE
OFFICIALaL-C
FEES COLLECTED
Single
Building
Plumbing
Mech.
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL $
PERMIT NUMBER
Lts-5
DATE
02*
* 30500
* 30500 to -
7452$
11-0T-79
g 6.479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT. 745.52
* 5.O O O a
CC
F—
U
W
0