HomeMy WebLinkAbout1979, 10-02 Permit 79-5132 Repair Fire Damage, Barnply. 1 7 �� i�i � �
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4. AD RO9-- IV 0----OH
DESIGNER
ADDRESS
CHANGE OF USE FROM
6.
TYPE
7. OF
WORK
TO
PLAN NUMBER
APPLICATION/MERMIT
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
1 LOT BLOCK S� �I�,S 4V2 4.1^ta Wiz
AAI
2. (� VIA7 CSJGW C J �jWM�"�I9VI A 7
3. OWNER �r I NN i�l�, - 1b
ADDRESS ZI P
',,z0
P ONE
3 7
ZIP
PHONE
ZIP
❑ANEW ❑ ALT. ❑ AD N. �PL. ❑ MVE.
E 3 OLD. ❑ PLMB. 0 MECH: ❑ M.H. ❑ POOL
DESCRIBE WORK
V 9.LUATION
4ioo
❑ OTHER
source GAS E CTRIC
of
Utilities
LEGAL DESCRIPTION — SEE ATTACHED
PARCEL NUMBER/S J
Required Set Backs In Feet
North !South I I,'L/)
Size of Parcel
(gyp ? 3�0
Type Const.
Occupancy
East !West
Zone Classification
Sprinklered
❑Yes ❑No ❑ Req'd.
Valuation Building Area in Sq. Ft.
Spilt Entry
No. Baths
WATER
Split Level
No. Floors
CERTIFICATE
of EXEMPTION
SEWER
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 local law regulating construction or the
performance of construction. %/
DATE /,') ; 77 SIGNATURE
No. Rooms
DEPT.
SPECIAL APPROVALS
REQ'D. REC'D.
Env. Health
Planning
Fire Marshall
Co. Engineer
Utilities
Zone Clearance
SEPA Checklist
SPECIAL CONDITIONS:
Poo,
it i2-1(+ r o o
DATE
Storage
Rancher
Rec. Room
Rec'd.
Not Req'd.
FEES COLLECTED
Single $
Building / 00
Plumbing
Mech.
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL $
CO,
PERMIT NUMBER
I��
DATE
02* *31.00
*31.00 In
*31.006
E *0.00
5131R
10-02-79
2 6479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THISIBECO�QFSiA RE,IiMIT.
5'13,2 *.31,0:.O0.ii
APPRO► 1 FOR ISSUANCE
698`
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