1979, 09-28 Permit: 79-4929 GaragePLAN 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
S. 1120 Burns Rd.
LEGAL DESCRIPTION - SEE ATTACHED
LOT
2. 2
BLOCK
1
3.
SUBDIVISION
Snoopy's First Addition
OWNER
N. W. Const. Services & Assoc., Inc.,
PHONE
922-1705
PARCEL NUMBER/S P��C= i 51. E 74.-!`:;-
1,..4)
•a,C.t) T Z 13,1:-.X
j Nt.)4,RYJ / 7 A C
ADDRESS
N. 708 Argonne Suite G
ZI P
99206
4.
CONTRACTOR
S. we
ADDRESS
PHONE
ZIP
Required Set Backs in Feet /
North 7 'South .3—.5 -East d west
Size of Parcel Zone Classification
.rte=�.� ?,
Type Const.
Occupancy
Sprinklered
❑Yes ❑No ❑ Req'd.
DESIGNER
5. ADDRESS
PHONE
ZIP
Valuat4tn (Building Area in Sq. Ft.
DWL Area
Basement Area
Garage Area
s..8
Storage
CHANGE OF USE FROM
6.
TYPE
7. OF
WORK
TO
Split Entry
Split Level
Rancher
NEW
❑ BLD.
❑ ALT.
❑ PLMB.
❑ AD'N.
❑ MECH:
❑ RPL.
❑ M.H.
❑ MVE.
O POOL
❑ OTHER
No. Baths
No. Floors
No. Rooms
1
Rec. Room
CERTIFICATE Req'd.
of EXEMPTION
Rec'd.
Not Req'd.
DESCRIBE WORK
8. Add f)nuhle Stall Gar
VALUATION
9. <4-Orp (Po
Source
of
Utilities
GAS
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 law regulating construction or the
performance of construction.
DATE IQ/ ( ei SIGNATUR
DEPT.
SPECIAL APPROVALS
REQ'D. REC'D.
Env. Health
Planning
1&/t, ;zSy
Fire Marshall
Co. Engineer
Utilities
Zone Clearance
SEPA Checklist
SPECIAL CONDITIONS:
/11) ' - 4_ = ? e, -- Y 121°1(44/
`
DATET—Z �I OFFICIAL )
APPROVED FOR ISSUANCE
FEES COLLECTED
Single $
Building'`t' a
Plumbing
Mech.
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL
PERMIT NUMbL_R
79—y9z,9
DATE SEPTLS/ / 79
02* *44.00
*44.00 rn
*44,006
B *Q00 8
49282
09-28-79
2 6479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS B COMES A PERMIT.
09-28'-79 49292 *4400:2
m
1
8/
P
L2.77i Av.-