1979, 10-05 Permit: 79-5439 GaragePLAN NUMBER
X 33/
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. 5 3,3-O 3 bI S i 4 02.)LOT BLOCK SUBDIVISION
S 2 MW W, L o/%4 A - D1).
ER
3. O A7.Es T. 5L97
ADDRESS
$ 35'o5- 73c7ebi5 /It / b
PHONE
'?26 -2007
LEGAL DESCRIPTION - SEE ATTACHED
PARCEL NUMBER/S 3359 1 - 0 Z 0J'
'%o6
CONTRACTOR
PHONE
Required Set Backs in Feet
North ` 2_ 'South Cs
Size of Parcel
so
East / f I 11W
ADDRESS
5. ADDRESS
DESIGNER
tug -4( prf. 3
CHANGE OF USE FROM
6.
TO
ZIP
PHONE
ZIP
Type Const.
FiZ/M4e:—
Occupancy
Valuation
Zone Classification
Irf/6 e49M/L
�Srpr�inklered /
Lives ICI,No ❑ Req'd.
Building Area in Sq. Ft.
DWL Area Basement Area Garag Ar
6.2
Split Entry
TYPE
7, OF
WORK
❑ NEW
❑ BLD.
ALT. 0 AD'N.
❑ PLMB. ❑ MECH:
❑ RPL.
O M.H.
O MVE.
O POOL
0 OTHER
No. Baths
Split Level
No. Floors
CERTIFICATE
of EXEMPTION
Storage
Rancher
No. Rooms
Req'd.
Rec. Room
Rec'd.
NXeq'd.
DESCRIBE WORK
8. ADD oP
VALUATION
9.1jO2c
Source
of
Utilities
GAS
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 •f co struction.
DATE Al
_7 7,
DEPT.
SPECIAL APPROVALS
REQ''DD.
REC'D.
Env. Health t
SIGNATU
Planning
Fire Marshall
Co. Engineer
Utilities
Zone Clearance
SEPA Checklist
SPECIAL CONDITIONS:
Gx) )a- Gv I G C 5v I3NMr / / 'L.-'4' V I ISS
/0
DATE — OFFICIA
APPROVED FOR ISSUCE
FEES COLLECTED
Single $
Building
Plumbing
Mech.
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL
S3 e0
$ 5'3.0-0
PERMIT NUMBER
7 _ S 3q
DATE 10 lo -5--7[
02* *5300
*5300
*53.008
B *000
54388
10-05=79
6.479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
10-05L-79 54393 *53.00a17-1
1
ParcC 33540020S
Lf 5; • 81.k.; Midi ionic. Addy).
1-o+ Stz:c TLeX !So'
Vcdva-lior, 0-F Protostej
54p-1Ve— *44,000,
(ozqn
(e0WDISH ROAD
11.M00•••••••••
SCALE 1/4°.: