HomeMy WebLinkAbout1979, 08-31 Permit: 79-3305 ResidenceAN NUMBER APPLICATION/PERMIT
I-- 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
67.
35
LEGAL DESCRIPTION —SEE ATTACHED
1.
LOT
t—BLOCK
SUBDIVISION
PARCEL NUMBER/S
[ /7
2.
��
OWNER
PHONE
3.
AD RESS
ZIP
'
red eBackse, //
X/
qj/East 47
2 15
North West
CO TRACTOR
PHONE
Sze of Parcel
ne Class" cation
4. A DRESS
ZIP
Type Co st.
Occupancy
Sprinklered
2 —
❑Yes XNo ❑ Req'd.
DESIGNER
PHONE
Val tion
Building Area in Sq. Ft.
qq-
5. ADDRESS
ZIP
DWL Areh
Basement Area
Garage//Area
Storage
Oq
CHANGE OF USE FROMTO Spli Entry Split Level ancher
6.
TYPE No Baths No. Floors Nolooms Rec. Room
NEW ❑ ALT. ❑ AD'N. ❑ RPL. ❑ MVE. )
�, OF 1� El OTHER
WORK y+' BLD. ❑ PLMB. ❑ MECH: ❑ M.H. ❑ POOL CERTIFICATE Req'd. I Recd. 'Not Ree d.
of EXEMPTION X
D SCRIBE WORK
8. , r -A -M. k42j
V. LUATI N Source GAS ELE�IC WA ER SEWER
g � pp Utilities 0e Ir.
:51'Lc)eI,
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 loc aw regulating construction or the
performance 31f con ruction.
DATE SIGN T
SPECIAL Arl'KV VALJ
DEPT. REQ'D. RECD.
Env. Health
Planning
Fire Marshall
Co. Engineer
Utilities
Zone Clearance
SEPA Checklist
FEES COLLECTED
Single $
Building
Plumbing
Mech.
SPECIAL CONDITIONS:
ON MAP Plan Check
"V F-� le- ` �wNl(41TtI'.$S SEPA
Mobile Home
Other (Specify)
PERMIT NUMBER
9
DATE -
0? * * 1 04.00
* 1 04.00
* 1 OkO0
E *0.00 col
330.4
0831 —79
6.479,
a
TOTAL
TOTAL $
WHEN MACHINE VALIDATED IN THIS SPACE,
l THIS BECOMES A PERMIT.
DATE OFFICIAL i "t i f �' `-'{ - , 3 0. % * 10 4. a 0.
APPROVED FOR ISSUANCE
O
U
— W
a_
En
2 --
W. S. Jamieson�f "
11123 East 30th ��'� y Aid
SPOKANE, WASHINGTON 99206
SPO, INN 999205
(509) 928-1514 928-1514
To Spokane 0ounty Building Department
11I��/1/I/I
Date 12-1_-7°
SubjectB, 11708 35Th