1979, 07-06 Permit: 79-181 ACPLAN NUMBER
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
25th AVENUE, E. 12424 LEGAL DESCRIPTION — SEE ATTACHED
LOT I BLOCK ISUBDIVISION PARCEL NUMBER/S
PERMIT NUS` --I
1 711,
DATE July 6, 197:'
04* *7.0*0
*7.00
B *Q00� o
1802
07-06-79
;P 6479,
DESCRIBE WORK
8. Air Conditioner FEES COLLECTED
VALUATION Source GAS ELECTRIC WATER SEWER
of XXXX
Q, Utilities
Single $
OWNER
1 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
PHONE
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
JERRY CARLSON
performance of construction. Plumbing
928-7661
SPECIAL APPROVALS SPECIAL CONDITIONS:
g
DEPT. REQ'D. REC'D. Plan Check
Env. Health
SEPA
Planning
ADDRESS
Mobile Home
ZIP
Required Set Backs in Feet
Co. Engineer Other (Specify)
E. 12424 25th
TOTAL $
North South
East west
IN THIS SPACE,
CONTRACTOR
SEPA Checklist THIS( COME A PERMIT.
PHONE
Size of Parcel
Zone Classification
SEARS-IDEAl
489-1170
4.
ADDRESS
ZIP
Type Const.
Occupancy
Sprinklered
P.O.BOX 3707 TA
99220
I
❑Yes ❑No ❑ Req'd.
DESIGNER
PHONE
Valuation
Building Area in Sq. Ft.
5.
ADDRE.','
ZIP
DWL Area
Basement Area
Garage Area
Storage
CHANOtiE OF USE FROM
TO
Split Entry
Split
Level
Rancher
6.
No. Baths
No. Floors
No. Rooms
Rec. Room
TYPE ❑ NEW ❑ ALT.
❑ AD'N. ❑ RPL.
❑ MVE.
7,
OF
❑ OTHER
CERTIFICATE
Req'd.
Recd.
Not Re.
❑ BLD. ❑ PLMB. [g MECH: ❑ M.H. ❑ POOL
WORK
of EXEMPTION
I
PERMIT NUS` --I
1 711,
DATE July 6, 197:'
04* *7.0*0
*7.00
B *Q00� o
1802
07-06-79
;P 6479,
DESCRIBE WORK
8. Air Conditioner FEES COLLECTED
VALUATION Source GAS ELECTRIC WATER SEWER
of XXXX
Q, Utilities
Single $
1 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
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 SIGNATURE— Mech. 7.00
SPECIAL APPROVALS SPECIAL CONDITIONS:
DEPT. REQ'D. REC'D. Plan Check
Env. Health
SEPA
Planning
Mobile Home
Fire Marshall
Co. Engineer Other (Specify)
Utilities
7.00
TOTAL $
Zone Clearance
IN THIS SPACE,
WHEN MACHINE VALIDATED
SEPA Checklist THIS( COME A PERMIT.
"�-x`79
18.15
DATE OFFICIAL
APPROVED FOR ISSUANCE
*7.000-;