1979, 11-28 Permit: 79-8676 Garage''LAN NUMBER
APPLItr.+ lION/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
I I 7 5 • L3.LK5-\
B (
LOCK SUBDIVISION /
5 1ri►J61-1 12vmc,. 01
JN --r J oFtt\i�Je)f,1
ADDRESS
SI I C' - �i 6v,
3
LOT
CONTRACTQR_
� M
4. ADDRESS
DESIGNER
5. ADDRESS
CHANGE OF USE FROM
6.
TYPE
7. OF
WORK
PidON
00+-,2
ZIP
`j7..c,�o
LEGAL DESCRIPTION — SEE ATTACHED
PARCEL NUMBER/S 6,95
.- 156
40Sett Backs in Feet
North 'South
East 1 (West
PHONE
ZIP
PHONE
ZIP
TO
❑ NEW ❑ ALT. CJ AD'N.
VLD. ❑ PLMB. ❑ MECH.
❑ RPL.
0 M.H.
0 MVE.
0 POOL
0 OTHER
Size of Parcel
l '9 X g(e=.
Zone Classification
Type Const. Occupancy
TV / f "'i— /
Valuation
5 cx) �p
DWL Area I Basement Area
S rinklered
❑Yes No ❑ Req'd.
Building Area in Sq. Ft.
10 50
Garage5Area I
0
Storage
Split Entry
Split Level
No. Baths
No. Floors
No. Rooms
CERTIFICATE
of EXEMPTION
Req'd.
DESCRIBE WO
8.
VALUATION
9. r? 100
Source GAS ELECTRIC
of
Utilities
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 of construction. 1
DATE 11 �//� �c2 �— l , SIGNATURE ' / 00/14-14-e"
DEPT.
SPECIAL APPROVALS
REQ'D. _ REC'D.
Env. Health
Planning
Fire Marshall
Co. Engineer
Utilities
Zone Clearance
SEPA Checklist
SPECIAL CONDI ONS:
1;144\14- Aruna
Glu= L 9. - 77.0
DATE /-*8 OFFICIAL
APPROVED FOR IS CE
Rancher
Rec. Room
Rec'd.
Not Req'd.
FEES COLLECTED
Single $
Building
Plumbing
Mech.
Plan Check
SEPA
Mobile Home
Other (Specify)
5».O0
TOTAL $
PERMIT NUMBER
`9-8676
DATE
02* *5000
*50.00 to
*50.006
E *000
867.58
12-04-79
g 64.79.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
12=04-7'9 867.62
*50.0,01F
1
44164494
Iv
/70
r>41@-rioi
16-01061,6
0 7-