1979, 12-04 Permit: 79-8686 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
1. ALOf BeL109t
22
PERMIT NUMBER
1T- 84-88
DATE /.2--14—
_LEGAL DESCRIPTION=_SEE.AT_TACHED__ -_
Drw'iJn►ft( J S toff -14 2 13L 1st ,!
. NER
MDDR SiSa9<6i-j la- Gt2 E 59�
CO rct Il 1-imP1N2O6
4. q ;Watt -Acta.
- j- Po
r co. j-csl-5
ADE DD SS l p I/ rt P
NE 1
GIII34NIF -- PH
5. ADDRESS
PARCEL NUMBER/51'I541I-IIIA q{. 115
OpP *9 /7u6 . Ora- !3-0 9-
. i alo b5 /tors151_-' 2
RLd Set Backs in Feet /
North 5 I
South
East ft5 West 010
Size'ot Parcel -- --
9511(-1351 C 3b „c115.
ZonIa�pssslIiffi�i''cation-'t II-
Type Const.- _ Occupancy
Sprink_lered__
]Yes DNo 0 Req'd.
Valuation
ZIP
309 =
)WL Area Basement Area
*IC
Building Area in Sq. Ft.
.._A...
1 ----- ---- - -
CHANGE OF USE FROM
6.
TO
Split En
Garag Area
Split Level
5torage
Ranche
TYPE tNEW
7. OF
WORK BLD.
0 ALT. D AD N. 0 RPL. 0 MVE.
D OTHER
D_ PLMBH
.- 0 MECH1 0 M.. - D_ POOL
No. Baths
No. Floors
No. Room
Rec. Room
- CERTI F ICATE-
et EXEMPTION
Req d.
Rec
ot-Req'd.
SCRIBE WORK
-flea
VALUATI
1So 142 -
Source
of --
Utilities
GAS
ELECTRIC
WATER
SEWER
I hereby certify that I have read and examined this.applica ion and have read the "NOTICE" provisionsincluded
on reverse side, and know the same to be true and correc . All pr. visions of laws and 5 dinances governing this
type of work will be complied with whether specified herein or ot. The grantinof rmit does not presume
to give authority to violate or cancel the provisions of any other tate dr_Iocal lye rest, ing-construction-or the
performance of construction. (�
SIGNATURE ` . - 41
DATE 11- 2- ( - �l
DEPT.
SPECIAL APPROVALS- --
REGI'D. REC'D
Env. Health
MP 117)•/19
Planning
Fire Marshall
Co. Engineer 11 -
Utilities
Zone Clearance
SEPA Checklist
SPECIAL CONDITIONS:
DATE OFFICIAL Rid lid/
APPROVED FOR ISSUANCE
- - FEES COLLECTED- -
Single $
Building W�'Da
Plumbing
Mech.
Plan Check
SEPA
Mobile Home
Other (Specify)
DO
TOTAL
02* *6200
*6200
*62006
E *000 S
8685 -
-_-- _ 1.2r -04x79
6479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
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