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HomeMy WebLinkAbout1979, 10-15 Permit: 79-5984 ResidencePLAN NUMBER APPLICATION/PERMIT SPOKANE COUNTY - BUILDING CODES DEPARTMENT NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675 DESCRIBE WORKFEES COLLECTED B. U 1k lq�T �M-r - VALUATION Source GAS ELECTRIC WATER SEWER of C 9. ©©© 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 gover ing this Building 251. pC type of work will be complied with whether specified herein or not. The granting of a per - doe presume I law regulati n ion o the to give authority to violate or cancel the provisions of any other state or Plumbing performance of construction. Q noTG ' 1 SIGNATURE Mech. DEPT. APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 4 COPIES REC'D. JOB ADD. SS --��- LEGAL DESCRIPTION -SEE ATTACHED 1 Fire Marshall LO BLOCK SU DIVIS ON Utilities PARCEL NUMBER/S35�, 2. Zone Clearance ;9V /rt>b OWNER EOONE ADDRESS dL ��ZIP q X37 Required Set Backs in Fee "7 North 30South East ` v West CONTRACTOR PHONE Size of Parcel qS, 0 8.8? Zone Classification i/ma AA 4. ADDRESS ZIP Type Const, I Occupancy Z-':!> Sprinklered ❑Yes -14o ❑ Req'd. DESIGNER PHONE Valuation I Building Arep in Sq. Ft. �C � 5. ADDRESS ZIP 7/_ DW Ar a Basement Area Garage Area l0 7_ �Lnrage �Lf/7 CHANGE OF USE FROM TO Split Entry Split evel Rancher 6. y� No. Baths No. Floors No,�2ooms Rec. Room TYPE n -NEW ❑ ALT. ❑ AD'N. ❑ RPL. ❑ MVE. 3 l7 7, OF �y y BLD. ❑ PLMB. ❑ MECH: ❑ M.H. OTHER ❑ POOL CERTIFICATE Req'd. Recd. Notq'd. WORK of EXEMPTION DESCRIBE WORKFEES COLLECTED B. U 1k lq�T �M-r - VALUATION Source GAS ELECTRIC WATER SEWER of C 9. ©©© 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 gover ing this Building 251. pC type of work will be complied with whether specified herein or not. The granting of a per - doe presume I law regulati n ion o the to give authority to violate or cancel the provisions of any other state or Plumbing performance of construction. Q noTG ' 1 SIGNATURE Mech. DEPT. SPECIAL APPROVALS REQ'D. REC'D. Env. Health Planning Fire Marshall Co. Engineer Utilities Zone Clearance SEPA Checklist SPECIAL CONDITIONS: 1 DATE--OFFICIA6 APPROVED FOR 1Sq6ACE Plan Check SEPA Mobile Home Other (Specify) �` TOTAL $ OIZV OPERMIT NUMBER DATE 02* *251.00 *2.51.00 *251.00 E *0.00 59&32 10-15-79 2 6479. WHEN MACHINE VALIDATED IN THIS SPACE, THIS BECOM SAPERMIT. L ;93,4` X251.00°�' T I jf 3 —4 e a (o( I �W ARTISTIC CONSTRUCTION 2216 SO. BOLIVAR VERADALE, WA 99037 k E � _ M I i R t } - ,:v�cve+�+nwlrr++.�yrwl,m,ynewayw,a; • tAV-