1981, 01-19 Permit 81A-626 Residence, GaragePLAN NUMBER
APPLIC►TION/PERMIT
PERMIT NUMBER
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
E. 10618 Ferr*t Drive
LEGAL DESCRIPTION — SEE ATTACHED
LOT
6
BLOCK
3
SUBDIVISION
Iller First Addition
OWNER
3 Highview Acres
Inc.
DRE S
E. 13903 Sprague #8 Spokane, Wash.
CONTRACTOR
Robert Pielaet
4. ADDRESS
5.
PHONE
928-9016
ZIP9216
PHONE
928-9016
PARCEL NUMBER/S
05441-9091 pi- or
Required Set Backs in Feet
North 00 ISouth
Size of Parcel
145 x 279.91
East 43' 'West -3‘
Zone Classification
Agricultural Sub.
E. i3903 Sprague #8 Spokane, Wash.
DESIGNER
Industrial Drafting
ADo�5 52 N. Cherry Spokane, Wash.
ZIP
99216
PHONE
928--7755
ZIP992i6
Type Const.
frame
Valuation r
Occupancy
4 Bdrm.
coT'
DWL Area Basement Area
1862 1816
Sprinklered
❑Yes D'lo ❑ Req'd.
BujIipArea in Sq. Ft.
Garage Area
576
Storage
CHANGE OF USE FROM
6.
TO
Split Entry
Split Level
X
Rancher
TYPE
7, OF
WORK
NEW
❑ BLD.
❑ ALT.
❑ PLMB.
❑ AD'N.
❑ MECH:
❑ RPL.
❑ M.H.
❑ MVE.
❑ POOL
❑ OTHER
No. Baths
3
No. Floors
4-level
No. Rooms
Rec. Room
x
CERTIFICATE
of EXEMPTION
Req'd.
Rec'd.
Not Req'd.
DESCRIBE WORK
g Reseidential dwelling, single family residence
VALUATION
9. 130, 000.00
Source
of
Utilities
GAS
X WWP
ELECTRIC
WWP
ciP. R Rye AC Era
WATER
WWP
SEWER
septic
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 law,•egulating co ruction or the
performance of;onstrution .
rs
DATE ///-
SIGNATURE'
DEPT.
Env. Heal
Planning
SPECIAL APPROVALS
REQ'D. REC'D.
fet, //ig/gi
Fire Marshall
Co. Engineer
Utilities
Zone Clearance
SEPA Checklist
SPECIAL CONDITIONS:
QZD' FINiN 13A561AEN-T
ggall' LI ttlFinfl t4CU i N SPOE" WIEN
240 Co•4E:i7.111 PAT iA
Lit'a:N56 iurt Z1iiei
wriomqs- ib-fkloci±
DATE t/ii) l OFFICIALD'J/ `
FEES COLLECTED
Single
Building
Plumbing
Mech.
Plan Check
SEPA
Mobile Horne
Other (Specify)
TOTAL $ 6,4.00
gJA -
DATE
Ira. is 1^•1 1 3,1(M
*364.00 t
*364.006
A *0,.G0 3
44.3.E
01-13-Ft
6479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
01 4'r 81
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