1979, 10-18 Permit: 79-6267 ResidencePLAN 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 LEGAL DESCRIPTION — SEE ATTACHED
rt 11.105 3co'1+
LOT I BLOCK SUBDIVISION PARCEL NUMBER/S o� rQ `SIIi33
2. 10 � b � � � y�
OWNER
Source
—q J
—��/
Z761
WATER
G�
SEWER
3. Gtr
U
ADDRESS
ZIP
��
�
kRequiredt Backs in Feet�/�C
South �0
East 10 WestRACTOR
PHONE
el
3
Zone lassification
�C
MIA4'ADDRESS
ZIP
st.
Occupancy
Sprinklered
IXj❑Yes
gNo ❑ Req'd.
DESIGNER
PHONE
Valua� &O 66a PO
g Buildingin Sq. Ft.
5
5' ADDR S
ZIP
DWL r a
Basement Are
Garage Area
Storage
---
CHANGE OF USE FROM ITO ' Split Entry I ant
Splif Leve'I I her
6. IJ
PI
No. B the No. F
TYPE
LViNEW ❑ ALT. ❑ AD'N. ❑ RPL. ❑ MVE.
7, OF �� El OTHER
WORK LD. ElPLMB. ❑ MECH: ElM.H. ❑ POOL CERTIFICATE
of EXEMPTION
ORK
R_ °ESCRI► i>�A7E -. .I K kI ,K, �-�►,� l I ,4' �I �-rT r, A KA6 f -!n,,
Nopoms Rec. Room
Req'd. I Recd. Not Re,
VALUATION
Source
AS
E ECT IC
WATER
G�
SEWER
9, (� 6
it
Utilities
FEES COLLECTED
Single $
1 hereby certify that I have read and examined this application and have read the "NOTICE" provisions included3a
on reverse side, and know the same to be true and correct. All provisions of laws and ordinances governing this Building `*f
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 oth r state or local law regulating construction or the
performance of construction. I Plumbing
DATE. �F22 SIGNATUR _ Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS-
-01 RFn'n PF7r"n 1 1. 1 Plan Check
Env. Health
Planning
Fire Marshall
Co. Engineer
Utilities
Zone Clearance
SEPA Checklist
r,9—G0-N
+ J — �—
SEPA
Mobile Home
Other (Specify)
PERMIT NUMBER(13-)1
I
DATE
02* *32200
*32200
*32200
E *000
5551
10-09-79
6479,
TOTAL $
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
/�
I ; *52`000
DATE OFFICIAL / ! -�- I-' �- — Ci Z [. E I -
APPROVED FOR ISSUA CE
B & G Construction
P.O. Box 13323
Spokane, Wash. 99213
Phone 922-2761 924-5184
8• cov.
patio
A0
2—car 3d
att.
garage
10L
o' aC5 IBX,
concrete\�-
3 drive—
0 way
Plot Plan
Scale I" = 20 feet
Legal: Lot 10, Block 2, Midilome First Addition
Fast i flog 36th Ave.
Spokane, Washington 99206
A 12:1._5 sq. ft. three bedroom, two bath rancher
PAI