1979, 07-10 Permit: 79-293 Fence PLAN NUMBER APPLICATION/PERMIT PERMIT NUMBER i
SPOKANE COUNTY — BUILDING CODES DEPARTMENT I 71- 2ff3
NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509) 456-3675 DATE )li /0,071
APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 4 COPIES
JOB ADDRESS OG * * O,QQ
1. E, /El-3o-7 2 3 Rp AVELEGAL frtESCMPTION - SEE ATTACHED * 1 0 0 0
LOT BLOCK SUBDIVISION PARCEL NUMBER/5
2. /2- /0 EARLY DAN Ti
Ism ADP PTN OF z6s1.z—go/ii- * 1 0. 0 0
W
OWNER PHONE E * 0: 0 0 8
3. RoBER.T V. LA rouNTAIN it_ r/zg, Q n9 29.2
ADDRESS ZIP Required Set Backs in Feet
E. /4.3o`7 Z3 RP v R.ApI LE tAJA 79037 North Na (South NA East N Pr 'West NR. 0 7- 1 0-7 9
CONTRACTOR / / PHONE Size of Parcel Zone Classification
4
SAM _ SD X /2 ' sihiULE FAMiLV fZas g 6479,
ADDRESS ZIP Type Const. Occupancy Sprinklered 1
❑Yes ❑No ❑ Req'd.
DESIGNER PHONE ValuaSjon Building Area in Sq. Ft.
/� o
S
5. ADDRESS / DQ xX /DD LIN 'FT
ZIP DWL Area Basement Area Garage Area Storage
` _.
CHANGE OF USE FROM TO Split Entry Split Level Rancher
6. .-._--
TYPE No.Baths No. Floors No. Rooms Rec. Room
Ck1 EW ❑ ALT. ❑ AD'N. ❑ RPL. ❑ MVE. `� _
7. OF A—OTHER
WORK ❑ BLD. ❑ PLMB. ❑ MECH: ❑ M.H. ❑ POOL FENCE of CERTIFICATEEXEPTIOReq'd. Rec'd. Not Req'd.
MN L1
DESCRIBE WORK "--_
8. 6' 1+1 c, 14 8A..K Y RD F Nc€ -- CEDAR-. —RAc SFc-r O N FEES COLLECTED
VALUATION Source GAS ELECTRIC WATER SEWER
;$ o0 of
9.
�On --Vx Utilities
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 � �� -TA
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. ( ^� Plumbing
DATE C I 01 �C.
ICJ SIGNATURE Q t. Jt, F-2l(�Q(AJ�,` fL A^^ Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS: `�^'� 4
DEPT. REQ'D. REC'D. Plan Check
Env.Health
Aa
SEPALY
n0_rshall Mobile Home
z
Co. Engineer Other (Specify)
Utilities
Wo
TOTAL $ /076(
Zone Clearance
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist THIS BECOMES
ES A PERMIT.�
v `]
DATE OFFICIAL -1 O - /79 ` 9, 3 z * I a 0 J n ,-_�
APPROVED FOR ISSUANCE _.