1979, 08-22 Permit: 79-2621 Storage Building�LHN 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
1.
JOB ADDRESS aCJ
1
1 // K SUB
'f.
WNER
y L E-4-Aor14A
ADDRESS
/6// /
CONTRACTOR
3.
4.
'PHONE'
(D-0009
LEGAL DESCRIPTION - SEE ATTACHED
PARCEL NUMBER/S
, g�'y/ —Cog / L
ADDRESS
ZIP 9
PHONE
ZIP
Required Set Backs in Feet
North /gyp (South
East 12-- 'West 56161
4
Size of rcel IV I
IX101,/ �,
Const.
Zoye as if' at
kola.
Occupancy
$ -1
Sprinklered
Des VCNo ❑ Req'd.
DESIGNER
5' ADDRESS
PHONE
ZIP
Va
luat' n Building Area in Sq. Ft.
�f000
(g 72
DWL Area I Basement Area Garage Area
Aorgee
CHANGE OF USE FROM
6.
TO
Split Entry
Split Level
Rancher
7.
TYPE
OF
WORK
NEW
BLD.
D ALT.
O PLMB.
❑ AD N.
❑ MECH:
❑ RPL.
0 M.H.
❑ MVE.
❑ POOL
0 OTHER
No. Baths
No. Floors
No. Rooms
Rec. Room
CERTIFICATE
of EXEMPTION
Req'd.
Rec'd.
Not R�q'd.
8.
DESCRIBE WORK
n ,
ALUATION
9. /U d`liri
Source
of
Utilities
GAS
RIC
WATER
SEWER
herd 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 regulatin. onstruction or the
performance of construction.
DATE
DEPT,
A SPECIAL APPROVALS
REQ'D. REC'D.
SIGNATU
Env. Health
bhOin
Planning
Fire Marshall
/r
f
Co. Engineer
Utilities
Zone Clearance
SEPA Checklist
FEES COLLECTED
Single
Building
Plumbing
SPECIAL CONDITIO
G Z'1 2 IJ6j,-s D tki
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A cue-sp
nug FA -ATT t U'► ALL i S U f ebp OTA L $ 86.°(-1-()(
1-0 L.45
'U W`- _7 u��;i� C�
��� MACHINE VALIDATED IN THIS SPACE,
t J 1 � Q- � ��'�� Tki)C' BECOMES A PERMIT.
DATE y �OFFICI'� -.J �� �r % 2 " 2' + z
O'
$
Plan Check
SEPA
Mobile Home
Other (Specify)
DATE
PERMIT NUMBER
7.61- z62,1
02* - *86.00
*8600 V
*86006
A *000
195.62
08-10-79
6479.
APPROVE
*86..0'0'x1-
INSPECTOR
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c) uti A
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