1979, 09-20 Permit: 79-4337 GaragePLAN NUMBER
APPLICATiONIPERMIT
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
7
LO BLOCK BD I$ION
2.„2 %"3 - �/tPI�ui,,,e!ri¢A, .:ht.
O OVER r� PHONE
3. 1- LII . .�L.) 9,24/—q9,..134
A DRESS ZIP
E- /i 7e)2 11 d .Y� 2 q9 f
CC�PtTRACTO aetsPHONE
�%i —{ )t 0-.— ���� d - 6'�'J
4.
e AD.2_40/,/ 1$,.', x1, 4-iiez a q SS Z /
DESIGNER PHONE
5. ADDRESS
LEGAL DESCRIPTION — SEE ATTACHED
PARCELNUMBER/S
A -O /34 -KC / MJRAOfAO
RANCH A b .
Required Set Backs in Feet /
North .Z (South ts`�
Size of Parcel
/
W
East j3
Zone ClassificatI'onest J2
!OD X L40 Li4axi.t'
Type Const. Occupancy Sprinklered
❑Yes I,No ❑ Req'd.
Va 1 uaVa I uyon
ZIP
/ C)nOp
DWL Area 1 Basement Area
Building Area in Sq. Ft.
s.17�
CHANGE OF USE FROM
6.
TO
Split Entry
Garage Area
Split Level
Storage
Ranch
TYPE
7. OF
WORK
❑ NEW
O BLD.
❑ ALT.
❑ PLMB.
AD N.
❑ MECH:
❑ RPL.
O M.H.
❑ MVE.
❑ POOL
0 OTHER
No. Baths
No. Floors
CERTIFICATE
of EXEMPTION
No. Rooms
Req'd.
Rec. Room
Rec'd.
Not Req'd.
D SCRIBE WORK
r
8. \./ter, +ir-_ r
VALUATION Source
O f
9, 0d0 -d----' Utilities
G AS
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 lavyregulating construction or the
performance of construction.
DATE C?—/1/--- 7 7 SIGNATURE -4/Z/
DEPT.
SPECIAL APPROVALS
REQ'D. REC'D.
Env. Health
Planning
!� cc // //77'
Fire Marshall
Co. Engineer
Utilities
Zone Clearance
SEPA Checklist
SPECIAL CONDITIONS.
Al+ j,„4.22,pefte,',d,
- F7L4 Ad
� / //
DATE : OFFICIALS"---/-
APPROVED
FFICIALS"-J APPROVED FOR ISSU NCE
FEES COLLECTED
Single $
1 40
Building ,57d
Plumbing
Mech.
Plan Check
SEPA
Mobile Home
Other (Specil
TOTAL $
PERMIT NUMBER
79--#337
DATE 9—.2-e-79
02* *10Q00
* 10Q00 N
* 100006
E *Q00 8
43362
09-20-79
I 6479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
091-2-0`-79
43'3.75 k100.0.0.2.17-1
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