1979, 09-10 Permit: 79-3605 ResidencePLAN NUMBER .. APPLICATION/ PERMIT
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
`4/
APPLICANT:
COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 4 COPIES
JOB ADDRESS
- 3 6 oS'
DATE SEPt
1.
02*
E. 37th
LEGAL DESCRIPTION — SEE ATTACHED
LOT
I B OCK
SUBDIVISION
PAF3(aErLtNUONJSER/S
2.
4
2
Chesterfield 1st addition
jj'' jj
335 42-9128
OWNER
Gerald E. Kofinehl
PHONE
928-6088
s
ADDRESS
P. 0. BOX 14721
ZIP
99214
Regtrired Set Backs in Feet ^�
North 30 South East � West 17
CONTRACTOR
PHONE
Size of Parcel
Zone Classification
4
Gerald E. 'kofinehl
a
/ n-". e J
ADDRESS
P.O. BOX '4721
ZIP
Ty�perC_on t.
ccupan y
Sprinklered
o
Dyes o ❑ Req'd.
DESIGNER
PHONE
Valuatipn
6 L�
Building Area 'n Sq. Ft.
5.
ADDRESS
CHANGE OF USE FROM TO
6.
oao a
ZIP DWL Area I I Basement Area Garage Are St e
S q3&
.
Split Entry Split Level Ranchbr
TYPE n No. aths No. Floors No. ,Rooms Rec. Room
SiC NEW ❑ ALT. ❑ AD'N. ❑ RPL. ❑ MVE.
7, OF ❑ OTHER f1�
WORK ❑ BLD. ❑ PLMB. ❑ MECH: ❑ M. H. ❑ POOL CERTIFICATE Req'd. I Rec'd. Not Req'0.
of EXEMPTION _
DESCRIBE WORK
8. Residence with Garage attached
VALUATION Source GAS ELEC� /}C,T R SEWER
9. 62 00.00 °f
Utilities .r dN�
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 to I law regulating construction or the
performance of construction.
DATE 7 SIGNATURE
4
PERMIT NUMBER
7
- 3 6 oS'
DATE SEPt
02*
*104.00
* 1 04,00 1�5
* 1 04.00
B
*0.00 CO)
SPECIAL APPROVALS SPECIAL CONDITIONS:
DEPT- REQ'D. RECD.
Env. Health
Planning
Fire Marshall
Co. Engineer
Utilities
Zone Clearance
SEPA Checklist
FEES COLLECTED
Single $�
Building
Plumbing
Mech.
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL $
WHEN MACHINE VALIDATED IN
THIS BECOMES A PERMIT.
DATE OFFICIA 0 -.10 - / ( 9
APPROVED FOR ISSUANCE
36049
09-10-79
—4 6479
i SPACE,
O
H
V
W
a
rn
Z
s.,�
� q72
1
i�
t�
, to
ow