1979, 11-16 Permit: 79-7952 Garage, AdditionPLAN NUM�R
/G/ .
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 COPS.
JOB ADDRESS
!.2123
LOT
. L
BLOCK
E . BUc K
SUBDIVISION
MIR-RE5gAU E_ANci# ADP
OWNER
3. TOM
ADDRESS
f / L123 foicxEy6..
CONTRACTOR
4.
PHONE
ZIP
8723
LEGAL
LEGAL DESCRIPTION - SEE ATTACHED
PARCEL NUMBER/S oc(S yl.- 0g5.-3'
Required Set Backs in Feet �)
North ( f 'South Z9
East / 0 West 9
P>f:2sELLD cor4s—RUac--ra N
ADDRESS
. /6 :3 5 c •E
F�.o u,IN
SPokr4N.
DESIGNER
5' ADDRESS
CHANGE OF USE FROM
6.
TYPE
7. OF
WORK
PHONE
'75
ZIP ZIP 9y•
Size of Parcel
x
n7
PHONE
ZIP
TO
El NEW ❑ ALT. LSI AD'N.
CJ BLD. ❑ PLMB. ❑ MECH:
❑ RPL.
❑ M.H.
❑ MVE.
❑ POOL
❑ OTHER
33
Type Const. O cu ncy
V N
Valuation
DWL Area
Split Entry
Basement Area
No. Baths
Zone Classificatione;1
A( -11 -IC- U LTL4 Add--
Sprinklered
❑Yes ❑No ❑ Req'd.
Building Area in Sq. Ft.
1320
Garage Area
Split Level
No. Floors
2 -
Storage
Rancher
No. Rooms
3
CERTIFICATE
of EXEMPTION
DESCRIBE WORK AND p(4t)&E49)
8•ADc j-rIONI o� DDUB1-Z GAP.A ' E d- 2- Bp aoMs 4 L L(1U< RooM (2AD c))
VALUATION Source CLA ELECTRIC WATER SEWER
of F
9. Utilities rS`n
Eu.S- rhi
Req'd.
STt Fz•Y
Rec. Room
/V��%i�
Recd. Not Req'd.
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 constructio or the
performance of construction.
DATE /1 - 7- 79 SIGNATURE
DEPT.
SPECIAL APPROVALS
REQ'D. REC'D.
Env. Health
/
Planning
Fire Marshall
Co. Engineer
Utilities
Zone Clearance
SEPA Checklist
SPECIAL CONDITIONS:
P../w60'
2.23 DI PE-gS-Ec- 2)IoL
y- / 3 -ID 1`�M € ctyK1j
Pi -NN s 7�
,p f
DATE i�-A 7i OFFICIAL+' Z }
APPROVED FOR ISSUANCE
FEES COLLECTED
Single $
Building
Plumbing
Mech.
Plan Check
SEPA
Mobile Home
Other (Specify)
�Q
TOTAL $
PERMIT NUMBER
7q-79 2
DATE /1"-' — 7c
02* *11600
* 11600 tn
* 116006
E *0,00 8
79512
11-16-79
2 6479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
11-16'-79 795.22 *116.00°�
R -s10 k_
P 1r0 PasEr
kPQ T10 N
86' f�L
BucicayE ?WE..