1979, 08-10 Permit: 79-2005 GaragePL
NUMBER
APPLICATION/ PERMIT
PERMIT NUMBER
Planning
Fire Marshall
17
Co. Engineer
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
y
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
DATE
APPLICANT:
COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 4 COPIES
0 2 * * 4 0' 0 0
JOB ADDRESS
LEGAL DESCRIPTION - SEE ATTACHED
* 4 Q 0 0
2.
L BLO K ISUEsu I I O
PARCEL NUMBER/S
Nr �i`9� �.z' s / -So' #4K 110
* 4 Q 0 0
OWNEi2
PHONE W r/¢RMS IR 7-,,.P� ,,
gj /R.4
E *0.00
AD RESS
ZIP Required Set Backs in Feet /
200.42
North South East West
08-10-79
CO RACTOR I
PHONE Size of Parcel Zone Classificat' n
6479.
4.
AD RESS
ZIP Type Const. Occupancy Sprinklered
❑Yes ❑No ❑ Req'd.
DESIGNER '
PHONE Valuation Building Area in5q. Ft.
5.
ADDRESS
ZIP DWL Area Basement Area Garage Area Storage
r
CHANGE OF USE FROM
CHANGE OF USE FROM
TO Split Entry Split Level Rancher
7
6.
No. Baths No. Floors No. Rooms Rec. Room
TYPE NEW ElALT. 1:1AD'N. ❑ RPL. ❑ MVE.
7, OF El OTHER F
WORK �l BLD. ❑ PLMB. ❑ MECH: ElM.H. ElRe POOL CERTIFICATE q' Recd. Not Req'd.
of EXEMPTION A
DESCRI EW K < n
FEES COLLECTED
8.
LUATION !1 Source GAS ELECTRIC WATER SEWER
yr of
9. 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 to violate or cancel the provisions of any other state or local law regulating construction or the
performance of construction. �. Plumbing
DATE SIGNATRE Mech.
U
DEPT.
SPECIAL APPROVALS
REQ'D. RECD.
Env. Health
Planning
Fire Marshall
Co. Engineer
Utilities
Zone Clearance
SEPA Checklist
SPECIAL CONDITIONS:
DATE - OFFICIAL^^^ ^^ ^^
Plan Check
SEPA
c
LL
0
Mobile Home
G
Other (Specify)
o�
TOTAL $ 1�6
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
08-10-79 2110,52 *40.00
r
cr-
4 , 70
C t
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20• �—
v•}akar'
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Scale 1~= 50
Ploi Plan
�or 510 5 M. Everyee n �d .