1979, 07-27 Permit: 791181 GaragePLAN 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
JO B ADDRESS
. E. 17/33 ALKI
LOT BLOCK SUBDIVISION
OWNER
3 \J12C- IL- HAM! L-ToN
ADDRESS
E. 17133 ALk I G REEN Ac -P s
CONTRACTOR
4. SAM
ADDRESS
PHONE
`124 -61VZ
ZIP
Wo/6
LEGAL DESCRIPTION — SEE ATTACHED
PARCEL NUMBER /S /g553 -11o7 -Hob
Pr of Brock /6, £ T 8, B-& /, AL-k►
SU3PI0SldI4 L.o V 7, •Lnc)L 1 of ALKI SUB,
CAP-13114 / DD To Ga.e.0.1 AC RV.s,
Required Set Backs in Feet
North (South [East (West
DESIGNER
ADDRESS
CHANGE OF USE FROM
6.
TYPE
7. OF
WORK
PHONE
ZIP
PHONE
ZIP
TO
,L{7,�NEW El ALT. ❑ AD'N. ❑ RPL. ❑ MVE.
L�J BLD. El PLMB. ❑ MECH: ❑ M.H. ❑ POOL
❑ OTHER
Size of Parcel
214.8'1' X Z7o'
Type Const. Occupancy
'J-N M -1
Zone Classification
Ac RICUL-ruKAI _
Valuation
Sprinklered
❑Yes ❑No ❑ Req'd.
Building Area in Sq. Ft.
S76
DWL Area I Basement Area Garage Area
_576
Split Entry
No. Baths
Split Level
No. Floors
CERTIFICATE
of EXEMPTION
Storage
Rancher
No. Rooms
Req'd.
DESCRIBE WORK
8. U RF A - ,175 -77\c 1-fED •- PA t l
VA UATION I Source GAS
350L) r I of
9. 3S Jet Utilities
ELECTRIC
WATER
SEWER
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 cr:i construction.
SIGNATURE
DATE
DEPT_
Env. Health
Planning
i t if/ � /u .00911, 0091I
SPECIAL APPROVALS
REQ'D. REC'D.
-77/?7/77--
Fire Marshall
Co. Engineer
Utilities
Zone Clearance
SEPA Checklist
SPECIAL CONDITIONS:
PLANS Dk.
DATE
21
7-13-77
J OFFICIAL
APPR
ISSUANCE
Rec. Room
Rec'd.
Not Req'd.
FEES COLLECTED
Single $
Building ✓t/ 00
Plumbing
Mech.
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL $
PERMIT NUMBER
7 ?--t1 1
DATE JMLy /31/g7q
02* *3000
*3000 N
*30.006
B *0.00 8
11802
07 -27 -79
2 6479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
07 -27 -79 118.12 *30,00x,=
DATE REMARKS
RECORD OF INSPECTIONS
Final Inspection
INSPECTED BY
eYr,a
0,1-51 —Ad
1JBO
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*20009:
'2JOC
0S* * ?COG
0
A4Jr,o r.
6u, 11
111
- f ' "1
rizoPosco Po
101.42
ALl'(1 AVE_
2 14 14
10 '
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