1979, 07-30 Permit 79-1233 DeckPLAN NUMBER
APPLICATION/PERMIT
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 . 2.4 BgoAW>A
4.
LOT BLOCK
OWNER
RAyMOND J' kOkOTAN
SIJI=SUIVIblUN
ADDRESS
E. d'hlzI+ 13RAD14)fy
CONTRACTOR
Sf�MF�-
ADDRESS
DESIGNER
5' ADDRESS
CHANGE OF USE FROM
6.
TYPE
7. OF
WORK
L7 NEW ❑ ALT.
❑ PLMB.
❑ BLD.
PHONE
q2- 3333
ZIP
9g2a /
PHONE
ZIP
PHONE
ZIP
TO
❑ AD'N.
0 MECH:
❑ RPL.
❑ M.H.
❑ MVE.
D POOL
IAOTHER
9 k.
LEGAL DESCRIPTION — SEE ATTACHED
PARCELNUMBER/S JB51fPf —o4 o-Z
\A2. L.oT I, 8L.oL,K, 26 EXc..`s, 2 4 I )(C
S"I' rfu-fofrNsoNs 4t7ArTicN
Required Set Backs in Feet
North 'South
Size of Parcel
�s x /SO
Type Const.
Valyatlon
Occupancy
Split Entry
Basement Area
East (West
Zone Classification
A-Gg(GUL-i"uI L.
Sprinklered
❑Yes ❑No ❑ Req'd.
Building Area in Sq. Ft.
/5o
Garage Area
Split Level
Storage
Rancher
No. Baths
No. Floors No. Rooms
Rec. Room
CERTIFICATE
of EXEMPTION
Req'd.
Rec'd.
Not Req'd.
DESCRIBE WORK
8. Am- oN OF A PEclC •-rb CXISTINC RESIDENcF
VALUATION
9. 41\2009-X
Source
of
Utilities
GAS
ELECTRIC
WATER
SEWER
fk[s'T,N C
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 local law regulating construction or the
performance of construction.r
DATE 1-�q- 19
SIGNATURE
DEPT.
SPECIAL APPROVALS
REQ'D. REC'D.
Env. Health
Planning
7/•7
Fire Marshall
Co. Engineer
Utilities
Zone Clearance
SEPA Checklist
SPECIAL CONDITIONS:
DATE
APPROVER FOR ISSUANCE
r
FEES COLLECTED
Single $
Building
Plumbing
Mech.
Plan Check
SEPA
Mobile Home
Other (Specify)
16. /O PXX
TOTAL $
PERMIT NUMBER
DATE
02* *1Q00
* 1Q00 15
* 1Q008
E *Q00
1232R
07-30-79
2 6479
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
07-30-79 123,3
0
z
*1OE00
O
01
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