1979, 11-26 Permit: 79-8301 ResidencePLAN NUM ER
APPLICATION/PERMITPERMIT
NUMBER
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1 77 -
SPOKANE COUNTY ' BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
DATE
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 4 COPIES
02* *260,0
JOB ADDRESS
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LEGAL DESCRIPTION — SEE ATTACHED
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PARCEL NUMBER/S
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PHONE
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ZIP
Set Backs in Feet t '
North n South East West
-09-79
11
CONTRACTOIR
PHONE
Size of Parcel
Zone Classification
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6,
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4.
A ,DRESS
ZIP
Type Const.
Occupancy
prinklered
,dY , i G L-E�
❑Yes [-]No ❑ Req'd.
DESIGNER
PHONE
Valuation
Building Area in Sq. Ft.
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Y
5.
ADDRESS
ZIP
DWL Area
Basement Area
Garage Area
Storage
`
-
CHANGE OF USE FROM
TO
S lit Entry
Split Level
Rancher
6.1,
No. Baths
No. Floors
No. Rooms
Rec. Room
TYPE NEW ElALT. 1:1AD'N.
❑ RPL. ElMVE.
7. OF
El BLD. ElPLMB. ElMECH:
❑ OTHER
❑ M.H. ❑ POOL
CERTIFICATE
Req'd.
Recd.
Not Req'd.
WORK
of EXEMPTION
N
D CRIBE -WORK
- FEES COLLECTED
8 'r✓�� � /�
G
V LUATION Source
GAS ELECTRIC WATER SEWER
9. ? lJ� of
Utilities
Single $
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 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 to or local,la� sting construction or the
Plumbing
performance of construction.
DATE �% -4� "1� cl
SIGNATUR Cz" u- Mech.
SPECIAL APPROVALS
SPECT ONDITIO
DEPT. REQ'D. RECD. Plan Check
Env. Health
SEPA
o
Planning
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Mobile Home
a.
C-1)
Fire Marshall
z
Co. Engineer
Other (Specify)
Utilities
,�1 TOTAL $
li- /3-71'moo
Zone Clearance
1'Q-h�ls oK a
WHEN MACHINE VALIDATED
IN THIS SPACE,
SEPA Checklist
! �� 7 7 � THIS BECOMES A )PERMIT.
I 1 ,- 26 -
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8 3 0, 1 Z * 2 O. O. O
DATE OFFICIAL /r.i���dC/�=l%�a,.yZ, i4.r /
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APPROVED FOR ISSUANCE
N -
Plot Plan
Scale 1« = 201
B & G Construction
P.O. Box 13323
Spokane, Washington 99213
Phone 922-2761
924—;184
Parcel no. Ffh- 33syI— 9o,93
Legal: Lot 13, Block 3, Midilome First Addn.
Value: $66,$00.00
Last i/gc)9 37th Avenue
Spokane, Washington 99206
1161 square feet frame dwelling with
three bedrooms, two baths and a two
car attached garage