1979, 09-24 Permit: 79-4619 ResidencePLAN NUMB i — - 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
JOBADDRES[1610.S LEGAL DESCRIPTION - SEE ATTACHED
LOT BLOCK SUBDIVISION PARCEL NUMBER/S�
2. M 1 ig L-6) H Le, - W1 /lN
OWNER
3.
SPECIAL COND T
3o
DEPT. REQ'D. REC'D.
ADDR'S
South
CONTRACTOR ��
PHONE
4'
Zone Classific�iti�ation
ADDRESS
ZIP
DESIGNER
PHONE
cc pancy
S rinklered
5. ADDRESS
ZIP
CHANGE OF USE FROM
TO
6.
Building Area in Sq. Ft.
TYPE [�(I/Ny,,EW El ALT. 1-1AD'N. 1:1 RPL. ❑ MVE.
7. OF ❑OTHER
`-' "LD. ElPLMB. ElMECH: ElM.H. 11POOL
WORK
Required Set Backs in Feet
SPECIAL COND T
3o
Q 67
DEPT. REQ'D. REC'D.
North
South
East I West
Size of Parcel
Fire Marshall
Zone Classific�iti�ation
es 6)(
Other (Specify)
TOTAL $
F t
Type Const.
cc pancy
S rinklered
e
WHEN MACHINE VALIDATED IN THIS SPACE,
❑Yes o ❑ Req'd.
ValuaV' n
THIS�CO E A ERMIT. is 0,D
Building Area in Sq. Ft.
-Y D
d
r 1-7
OWL Area
Basement Area
Ga ag Area
Storage/
Iia
06
0
+P5
Split Entry
Split Le
Rancher
No. Baths
No. Floors
No. Rooms
Rec. Room
CERTIFICATE
Req'd.
Rec'd.
Not Rei
of EXEMPTION
I
>4
DESCR7 --m VCr �j rAHi� i � � 4
ly%, I N FEES COLLECTED
VALUATION8. Source AS ELEC RIC
urWATER EWER
55Tof �/�� 4� , M I
9, a o utilities wi/✓ I Single $
1 hereby certify that I have read and examined this application and have read the "NOTICE" provisions included -lis00
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. Q � /'� � Plumbing
DATE SIGNATURE `'L�KJ�I�iL Mech.
PERMIT NUMBER
DATE
02* *286.00
*28600
*2860064
E *0.00
461.82
09-24-79
z 6479.
SPECIAL COND T
SPECIAL APPROVALS
DEPT. REQ'D. REC'D.
,I I �, ^
Vc Gam. K71, Q� j
Vo -�. i L
���I�-' '
Plan Check
SEPA
—
Mobile Home r
—
Env. Health
Planning
Fire Marshall
Other (Specify)
TOTAL $
Co. Engineer
Utilities
Zone Clearance
e
WHEN MACHINE VALIDATED IN THIS SPACE,
i
THIS�CO E A ERMIT. is 0,D
SEPA Checklist
DATE �� OFFICIAL,. / i .,r '�
- -- ,.
APPROVED FOR ISSUANCE
�v C-1
M)O.
I•