1979, 08-13 Permit: 79-2086 CarportPLAN 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
1. s41 • /� /'9 E ivLLGtht�
ZzLO BLOCK SUBDIVISION
2. 27i % / "r` %c ,2irtl
4.
0 NER
1'
ADDRESS 44244.
CONTRACTOR
-,Z4-x24/11
AD RESS
iCK ��vlrl�
DGNER
5. „,4/.44,e
ADDRESS
CHANGE OF USE FROM
6.
TYPE
7. OF
WORK
❑ NEW
❑ BLD.
❑ ALT.
❑ PLMB.
PHONE
�3-/ 777
ZIP
PHONE
ZI P
PHONE
ZI P
TO
❑ AD'N.
❑ MECH:
❑ RPL.
❑ M.H.
❑ MVE.
❑ POOL 2AJ1
>�r7
kj OTHER
LEGAL DESCRIPTION - SEE ATTACHED
PARCEL NUMBER/S _ /c)
( DTs 2i-2 Z-23 :-'i' a /t
rrA-/ A Al A L D
Required Set Backs in Feet
North /Op 'South 5 East v / 'West �J
Size of Parcel Zone Classification
/ O X. 0"? ..� %..
Type Const.
Occupancy
Valuation
DWL Area
Basement Area
Split Entry
No. Baths
Sprinklered
❑Yes ❑No ❑ Req'd.
Building Area in Sq. Ft.
Garage Area
Split Level
No. Floors
CERTIFICATE
of EXEMPTION
DESCRIBE W RK
8. VALUATIONQ (-1 Source _Vr GAS ELECTRIC WATER
9.4ff 4 OUD Utilities
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, w regulating construction or the
performance of construction.
DATE 7--3/- 7 9 SIGNATURE
Storage
Rancher
No. Rooms
Rec. Room
Req'd. Rec'd.
Not Req'd.
SEWER
DEPT.
SPECIAL APPROVALS
REQ'D_ REC'D.
Env. Health
Planning
Fire Marshall
Co. Enginee
Utilities
Zone Clearance
SEPA Checklist
SPECIAL CONDITIONS:
.rt-�•)0 etc, .6-3 -9F39
DAT E7 5/-79OFFICIAL/ 2 .a(
APPROVED FOR ISSUANCE
FEES COLLECTED
Single $
Building
Plumbing
Mech.
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL $ /9
ao
DATE
PERMIT NUMBER
79— 2,o
8,
(* * 1 9,00
* 19.00 t
* 19.006
B *0.00
20852
08-13-79
6479,
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
08-13-79 208.65' *19.002[7!
1