1979, 10-11 Permit: 79-5710 GarageFEES COLLECTED
Single
Building
Plumbing
Mech.
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL $3b. 69C2
PLAN 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
JOB ADDRESS
LOT
BLOCK
SUBDIVISION
0rzd1,izb 9Uc
OWNER
3 roc) U,r-,v 5b rye;
ADDRESS
7q/5 vv F-21
PHONE
ZIP
LEGAL DESCRIPTION - SEE ATTACHED
PARCEL NUMBER/S
l3 al- lc /5/ Ta /54 - 175-17 - .225-
112.5
225-
112.5 PT 7 6-44r 1214' oF— DL X-/ :257
Required Set Backs in Feet
North 50 (South 6 7 East (West
7 c2
CONTRACTOR��
4. /41/' /
e. / " c? t E/
ADDRESS
[2-7-1 7306 6--44‹
DESIGNER
PHONE
22-i'
Size of Pprcel
KGs �
/-17: 97
ADD R.1sS5
CHANGE OF USE FROM
6.
TYPE
7. OF
WORK
❑ NEW
❑ BLD.
❑ ALT.
❑ PLMB.
ZIP
PHONE
ZIP
TO
❑ AD'N. ❑ RPL. ❑ MVE.
❑ MECH. ❑ M.H. ❑ POOL
❑ OTHER
DFrSCRIBE WORK
/34"
GAS
VALUATION Source
of
9. '/,5-227, [,7 O Utilities
ELECTRIC
I hereby certify that I have read and
on reverse side, and know the same
type of work will be complied with
to give authority to violate or cancel
performance of construction.
DATE/C7— /— 7
YPype C �P
Tnnstt Occupancy
Zone Classification
L. rL
Sprinklered
❑Yes YrNo ❑ Req'd.
Valuation
DWL Area
Basement Area
Split Entry
No. Baths
Building Area in Sq. Ft.
9(90
Garage Area
Split Level
No. Floors
CERTIFICATE
of EXEMPTION
WATER
Storage
Rancher
No. Rooms
SEWER
examined this application and have read the "NOTICE" provisions included
to be true and correct. All provisions of laws and ordinances governing this
whether specified herein or not. The granting of a permit does not presume
the provisions of any other state or local lattv regulating cuction or the
SIGNATURE
SPECIAL APPROVALS
DEPT. REQ'D.
REC'D.
Env. Health
J et
Planning
Fire Marshall
Co. Engineer
Utilities
Zone Clearance
SEPA Checklist
.i.k. s- , /c2-1/- 7
SPECIAL CONDITIONS:
"12,41-25 IAf-RR-?
DATE/0 /1-7gFFICIAL
APPROVED FOR ISSUANCE
Rec. Room
PERMIl NUMBER
79-5-7//
DATE //) —/U --7g
02* *3600
*3600
*3600
E *00C
570,9
10-11-79
2 6479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
�10.-J1_7.9
57]..02 *36.00
INCPFrTnR
L% 9
_5
73 tk