1979, 12-14 Permit: 79-9128 GaragePLAN NOMEE.
APPLICATION/ PERMIT
SPOKANE COUNTY - BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
F PERMIT NUMBER
1-77-
DATE
-rC:
APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 4 COPIES
1 02* 4k00
JOB ADDRESS LEGAL DESCRIPTION - SEE ATTACHED
V)
LOT J BLOCK 15 UB DIVISION PARCEL NUMBER/S 9127;?
2. _- . k-/57- // --- 1341C ci
QWNER PHONE 2=2 1 4-79
]Re uire- Se- - k in Feet
3. Dox�uvdju eA57 j50_r3 6.479, -
ADDRESS I
&
ZIP
I f ac s
C. Z Z9-1f_0iL5_
-%aNorth
r J
(per South -?A Last
7 lWest
C2NTRACTOR
PHONE
Size of Parcel
Zone Classification
ADDRESS
ZIP
Type Const.
Occupancy
Sprinklered
0Yes
,j-
LINo 11 Req'd
DISIG ER
PHONE
Valuation
Building Area in Sq. Ft.
5.
^7 7
#DDRESSzip
DWL Area
T—Basement Area
Garage Area
Storage
2 ZO 4-
4, Z Z /'
CHANGE OF USE FROM
TO.
Split Entry
Split Level
Rancher
6.
No. Baths
No. Floors
No. Rooms Rec. Room
TYPE El NEW 1:1 ALT. 11 A D'N.
El RPL. EI 'M V E.
I I
j I
7. OF❑
El BLD. EF;iL:md. El MECk;
OTHER.
-
El -l�A. �q. 1:1 POOL
CERTIFICATE
Req'd.
Recd.
Not Req'd.
WORK
of EXEMPTIONI
I
1k
DESCRIBE WORK_
FEES -COLLECTED
8. pA
_F.V�ATER
VALUATION
Source
of
1-
GAS
ELECTRIC
SEWER
Utilities
Single $
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
Building
type of work will be complied with whether specified
herein or not. The granting of a permit does not presume
to give -authority -fo 'violate or cancel the_l:r_ovisiolnsbf any` other st(e or local re Mating construction or the
.
performance of construction.
Plum bing
DATE C.
-SIGNATURE
Mech.
DEPT. REQ'D. RECD.JN�ITIONS:--
Plan Check
Env. Health,JV
7
SEPA
Planning
Mobile Home
Fire Marshall
Other (Specify)
Co. Engineer
Utilities
TOTAL
Zone Clearance
7
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist
PMS
THIS BECOMES A PERMIT.'
DATE JAL OFFICIAL
9128 Z15
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