1979, 09-25 Permit: 79-4710 ResidencePLAN NUMBEk
APPLICATION/ PERMIT
SPOKANE COUNTY - BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
PERMIT NUMBER
97 9- •(i/d
DATE T-2 6 - %;
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 4 COPIES 02* * 1 0 0, 5 0
JOB ADDRESS, *100,50
� , E. th LEGAL DESCRIPTION —SEE ATTACHED
LOT IBLOOC SUBDIVISION 37 PARCEL NUMBER/S * 1 0 0 5 08
2. 2 2 Chesterfield lst addition Part of E *000
OWNER
Gerald E.
3.
Kofinehl
PHONE
928-6088
335 42-9128
ADDRESS
ZIP
Required Set Backs in Feet
0
P. 0. BOX
14721
99214
North 30 South
/�
East V West
CONTRACTOR
Gerald E.
Kofinehl
PHONE
928-6088
Size of Parcel
ed .x �'� �
Zone ClassificatioN�n
o" • -S, r / '
4' ADDRESS
P. 0. BOX
14721
ZIP
99214
Type Const.
Occupancy
Sprinklered
❑Yes ❑No ❑ Req'd.
DESIGNER.
5. ADDRESS
PHONE Valuation Building Area in Sq. Ft.
ZIP DWL Area Basement re Garage Area Stor ge
CHANGE OF USE FROM TO Split Entry Split Level Rancher
6.
No. Baths No. Floors No. R�„oms Rec. Room
TYPE 01 NEW El ALT. 1:1AD'N. El RPL. ❑ MVE. { --"` �
7, OF ❑ OTHER
WORK ❑ BLD. ❑ PLMB. ❑ MECH: ❑ M.H. ❑ POOL CERTIFICATE Req'd. I Recd. Not Req'd.
of EXEMPTION
DESCRIBE WORK
8, Residence with Garage attached
VALUATION Source GAS ELECTRIC CW ACTOER� SEWER
9, $62,500-00 Utilities �/ 1 1!�-_4
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
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 I law regulating construc;ion or the
performance of construction. !
DATE 8-22-79 SIGNATURE /
SPECIAL APPROVALS
DEPT. REQ'D. RECD.
Env. Health
Planning
Fire Marshall
Co. Engineer
Utilities
Zone Clearance
SEPA Checklist
SPECIAL CONDITIONS:
FEES COLLECTED
470,9
09-25=79
2 6.479,
Single $ _
Building VQ �JU
Plumbing
Mech.
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL $�d�
WHEN MACHINE VALIDATED
/ THIS BECOMES A PERMIT.
DATE ` 7 OFFICI . - - - h-9 Q
APPROVED FOR ISS fANCE
417 L0 *100.50;°
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