1979, 07-31 Permit: 79-1282 GaragePLAN NU. 'BER
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 DD ESS
1 10 112'61'
LOT BLONE DI SION
51 IQ 15.'x' o -t Mao'
3. D v. K rrAN I—/�✓
ADV`ES4-114
Vttit� ,
CON
4. ...
ADDRESS
LEGAL DESCRIPTION — SEE ATTACHED
PARCEL NUMBER/S
PHONE
2_40.3
1`15 -o7/-i
DESIGNER
ADDRESS
CHANGE OF USE FROM
6.
TYPE
7, OF
WORK
PHONE
ZIP
PHONE
ZIP
TO
VNEW ❑ ALT. ❑ AD'N. 0 RPL. 0 MVE.
Ls1 BLD.
0 PLMB. 0 MECH: 0 M.H. 0 POOL
0 OTHER
Required Set Backs in Feet
North
South
East
West
DESCRIBE WORK
8.
C 3
VAL ATION
9. COO
Source
of
Utilities
GAS /
ELECTRI
Size of Parcel
6x "0
Type Const.
Occupancy
Valuation
DWL Area
Basement Area
Split Entry
No. Baths
Z. ne/ ft:ica
Sprinklered
❑Yes ❑No ❑ Req'd.
Split Level
No. Floors
CERTIFICATE
of EXEMPTION
WATER
Storage
Rancher
No. Rooms
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 rlocal law regulating c.'uction or the
performance of construction.
DATE SIGNAT
DEPT.
SPECIAL APPROVALS
REQ'D. REC'D.
Env. Health
Planning
Fire Marshall
Co. Engineer
Utilities
Zone Clearance
SEPA Checklist
SPECIAL CONDITIONS:
�avoi,ricrc
w�u� ANG iK
4ML to
DATE
Rec. Room
FEES COLLECTED
Single $
Building 00
Plumbing
Mech.
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL $
PERMIT NU BER
DATE
02* *54.00
*54.00 tz
*54.006
A *000
10372
07-26-79
6479,
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
�-�' 07-31-79 128.2 *5400 i
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