1979, 09-11 Permit: 79-3811 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
JOB ADDRESS
2.
LOT
O4/NR
3. KU5S kk
ADDRESS
CO T ACTOR
dn/
BLOCK
4/ -wlh/e1( /?ID
UBDIVISI N
4.
Cchek y /S� - AO/)
1.1 41 Nis 2
31%ifi
LEGAL DESCRIPTION – SEE ATTACHED
/JJYNeA R,D .
CdN-5f. CO
PHONE
924. -9227
ZIP
PARCEL NUMBER /S
3 5' 60 - /2o/
PHONE
9928 14/5.t
Required Set Backs in Feet
North U.2 South /L�
Size of Parcel
AD RESS
30" 14/u'i4'/ 4'0
DES GNER
5. ViWif /' to. /JAA/5da/
ADDRESS
6.
ZIP
`S P ONE Z /tV
102.q6 Jx /38.2D
Occupancy
Type Const.
FaPrmE.
East 23 V (west 37 90
Zone Classification
5 ' r,%r, Res
Sprinklered
❑Yes ❑No ❑ Req'd.
OF 5'q44/4',9
CHANGE OF USE FROM ITO
ZIP
Valuation ---
DWL Area Basement Area
28
Building Area in Sq. Ft.
Garage Area
5-7L
Storage
/90
Split Entry
Split Level
Rancher
7.
TYPE
OF
❑ NEW
WORK ❑ BLD.
El ALT.
❑ PLMB.
IAD'N.
❑ MECH:
❑ RPL.
❑ M.H.
❑ MVE.
❑ POOL
❑ OTHER
No. Baths
No. Floors
No. Rooms
Rec. Room
CERTIFICATE
of EXEMPTION
Req'd.
Recd.
Not Req'd.
DESCRIBE WORK
IOO (2- 4t44 -r
A Ll ATI ON
S ource
of
Utilities
GAS ELECTRI WATER
L� � O�uCf^
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. granting of a permit does not presume
to give authority to violate or cancel the provisions of any other stat • ocal law regulating •nstruction or the
performance of construction. • / l
DATE /i1
SIGNATURE
DEPT.
SPECIAL APPROVALS
REQ'D.
R EC' D.
Env. Health
Planning
Fire Marshall
Co. Engineer
Zone Clearance
SEPA Checklist
SPECIAL CONDITION:
Itql,ESk5 S /eXawe /ru.SS
I DATE
APPROVED FOR ISSUANCE
FEES COLLECTED
Single
Building
Plumbing
Mech.
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL $
___11.9„,.
WHEN MACHINE VALIDATE
THIS BECOMES A PERMIT.
0�9 -11 -79
PERMIT NUMBER
7,3-.:38//
DATE G%
02* *3500
* 3500
* 35.006
E *0.00 8
381.02
09 -11 -79
2 6,479.
IN THIS SPACE,
81.1z
CD
1--
U
— w
a_
*'35.000 H
DATE
‘11
RECORD OF INSPECTIONS
Final Inspection
REMARKS INSPECTED BY
4 •
•
•14
'EX
J-JO
29101.
*OOL
'020OR
42200 P2
`,E* 42200
/38,2-6
Ace
4N f/d iff,o,