1979, 11-08 Permit: 79-7471 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 /�i Q p
1. �11 �. 3 ill /9 -?-'N a htt-Ct (i( t?1 .
LOT BLOCK SDB�QQI V ISION 0 �/
2. S i IOLA—pi/ -n4
LEGAL DESCRIPTION.—.SEE ATTACHED -
OWNER
�j
PHONE
3. t /r el f�' "14/14_111 ---pc,/ >.i1iVi
ADDR SS /1tt�ZIP
�.3I7 / /1--vm-e%scttC `:JL(i42.4,G41-4_.99.^c %(.o
PHONE
CO TRACTOR
4,44.e
4.
PARCEL NUMBER/S Q&5 5-' .— D SO&
.c ra 3LKa -.
,fASr Ac'D
OD ,Y u/ ‘90,0
Required Set Backs in Feet
North 96 'South g
East 73 a 'Westv:."50
Size of Parcel 7
ADDRESS
as L2 ,1 Q
DESIGNER
5. ADDRESS
ZIP
Type Const.
Occupancy
PHONE
Valuation
et 77
Zone Classificatlaifonp- --------- - -
Idf '1 r -tinkle -g a-
3508 -- -
prinklered
❑Ves ❑No 0 Req'd.
Building Area in Sq. Ft.
ZIP
, DWL Area I Basement Area
Garage Area
309
Storage
CHANGE OF USE FROM
6.
TO
Split E�Ntry
TYPE
7. OF
WORK
IX NEW
0 BLD.
❑ ALT. 0 AD N. 0 RPL. 0 MVE.
❑ PLMB. ❑ MECH: 0 M.H. - 0 POOL
0 OTHER
No. Baths
CERTIFICATE
of EXEMPTION
Soli Level Rancher
ita 447-41% 51-
No
Floors
/
No. Roo s
Req'd.
Rec. Room
Recd.
Not. Req'd.
DESCRIBE WORK
8.
VALUATION ISource GAS
J,`
/�D of Utilities
Ia-
ELECTRIC
WATER
SEWER
I hereby certify that I have read and examined this applica ion 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 .cal law regulating construction or the
performance of construction.
DATE J/—c5 — 77 - SIGNATURE
DEPT.
SPECIAL APPROVALS
REQ'D.
Env. Health
Planning ' /
REC'D.
Fire Marshall
Co. Engineer
Utilities
Zone Clearance
SEPA Checklist
SPECIAL CO DITIONS:
//-5--79
DATE OFFICIAL
Ada
APPROVED FOR ISSUANCE
FEES COLLECTED
Single
Budding
Plumbing
Mech.
Plan Check
SEPA
Mobile Home
Other (Specify)
4
TOTAL $ 3 =. —
PERMIT NUMBER
79 - 747/
DATE // - -79
02* *3250
*3250 G
*32508
E *000 8
747.08 -
11-08-79
v
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS, 1a COM A PERMIT.
'1-D 79
7'47.12 *3.2.50 W.
1-
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