1979, 12-27 Permit: 79-9558 GaragePLAN NUMBER
APPLICATION/ t -kh-RMIT
SPOKANE COUNTY - BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456 -3675
APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 4 COPIES
1
JOB ADDRESS
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PHONE
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CONTRACTOR oS £ r V"�E
r1-4)541
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ADDRESS
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DES
ER
ADDRESS
6PLINE
LEGAL DESCRIPTION - SEE ATTACHED
PARCEL NUMBER /S
'.'r 4 3 -te / P/N / ,5r .ADP
09 shy— O�
Required Set Bac s in Feet
Nor h / !South . S f )East +i (West y /
Size
oflParcel 1 Zone Classification
a X 1 co iu cam. y� r t
Type Const. Occupancy Sprin lered
❑Yes ❑No ❑ Req'd.
ZIP
,/aluation
� 55. �
WL Area i Basement Area
CHANGE OF USE FROM
6.
TO
TYPE
7. OF
WORK
XNEW ❑ ALT.
BLD. ❑ PLMB.
❑ AD N.
❑ MECH:
❑ RPL.
❑ M.H.
❑ MVE.
❑ POOL
❑ OTHER
Building Arealin Sq. Ft.
1050
Garage rea I Storage
Split ntry Split Level Rancher
i t AL 1 ko-,(- -
No. Baths No. Floors No. Ro ms
I
Rec. Room
CERTIFICATE
of EXEMPTION
Req'd.
Rec'd.
Not Req'd.
ESCRIBE WORK
VALUATI
155
>i 1C.
I hereby certify that 1 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 reguI construction or the
performance of construction.
Sou ce
of
Utilities
GAS
ELECTRIC
WATER
SEWER
DATE is
SIGNATURE
SPECIAL APPROVALS
DEPT. REQ'D. REC'D.
Env. Health
Planning
.i 7
Fire Marshall
Co. Engineer
Utilities
Zone Clearance
SEPA Checklist
SPECIAL CONDITIONS:
-z7- -77
DATE OFFICIALyd� <�L°�{ =-rsc�
APPROVED FOR ISSUANCE
FEES COLLECTED
Single
Building
Plumbing
Mech.
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL
$7r
DATE
r
PERMIT NUMBER
79 -�i�5'
02* *74,00
* 74.00
* 74,006
E *000
95578
12 -27 -79
2 6 4 7 9,
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
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9'55,82 *7400°1
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