1979, 11-07 Permit: 79-7451 ResidencePLAN NUMBER APPLICA'T'ION/PERMIT
�d 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
lzmaZR east 17th A C t LEGAL DESCRIPTION - SEE ATTACHED
i,
ve
our
LOT
BLOCK
SUBDIVISION
PARCEL NUMBER/S
2
I )
Jane Addition
Portion of 26541-0203
OWNER
W. Ra S. & Associates Inc
PHONE
922-4022
3.
ADDRESS
ZIP
RequiredBacks in Feet
326 SO* Pines Rd
99206
'Set r �_
6; ISouth J
North �� East West`
CONTRACTOR
PHONE
Si a of Parcel JA'�� �8�
Z ne Classification
C
922-4022
9, -
�•r.(-'
4'
ADDRESS
326 So. Pines Rd
ZIP
99206
Typ ns
Pram
Occupancy
- :3
Sprinklered
❑Yes CXNo ❑ Req'd.
DESIGNER
PHONE
Valu twoon
Buildin Area in Sq. Ft.
5.
75,950*00
1902
ADDRESS
ZIP
DWL Area
Basement Area
1130
Garage Area
Storage
1.344
0
638
CHANGE OF USE FROM
TO
Split Entry
Split Level
1 4
Rancher
6.
level
TYPE NEW
TYPE ❑ AD'N. 11 RPL.
El
ElMVE.
No. Baths
2
I No. Fyoors
J�11
No. Booms
6
Rec. Room
7,
OF
WORK BLD. ❑ PLMB. ❑ MECH: ❑ M.H.
OTHER
POOL
CERTIFICATE
Req'd.
Recd.
NQt Req'd.
of EXEMPTION
/\t/
DESCRIBE WORK
8. Single Family Residence w/Dble att. garage
VALUATION Source GAS
ELECTRIC WATER SEWER
s. 75,950.00 Uti�ties Vera Vera 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 — 19 7�9 SIGNATURE
SPECIAL APPROVALS SPECIAL CONDITIONS:
DEPT. REQ'D. RECD.
Env. H Ith
� v
Planni g
Fire Marshall
Co. Engineer
Utilities
Zone Clearance
SEPA Checklist
DATE /1 OFFICIAL
FEES COLLECTED
Single $
'rs
Building
Plumbing
Mech.
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTA L $ A o' -✓
WHEN MACHINE VALIDAT
THIS BECOMES A PERMIT.
J 1'1'-07'-7`9
DATE
�i
PERMIT NUMBErt/�
02* *309.00
*30900 N
74SOR
11-0-79
2 6479,
IN THIS SPACE,
7-451c5
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