1979, 10-05 Permit: 79-5437 GarageDESCRIBE
LAN 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
LEGAL DESCRIPTION - SEE ATTACHED
LOT[BLOCK-ISUB131411510ANhi
PARCEL NUMBER/S 3'4( /f,q-06o(p -r4F- t4.
2.
469v?Z' OF TH>= 5, Z4I.50' Of TffF- E Z
OF OLOC-k, 1110 OF PLAT '- OF WEST
OWNER
PHONE
3.
'30M
—
<-
jacks
ADDRESS
ZIP
Required Set in Feet
N. 51H
q92jQ&
North 0 South -5- East / West 2-2-(o'
CONTRACTOR
PHONE
Size of Parcel
Zone Classification
4.
ADDRESS
ZIP
Type Const. Occupancy
Sprinklered
—
❑Yes ❑No ❑ Req'd.
DESIGNER
PHONE
Valuation �
Building Area in Sq. Ft.
5.
D
ADDRESS
ZIP
DWL Area
Basement Area
Garage Area
Storage
i
7 ZO
CHANGE OF USE FROM
TO
Split Entry
Split Level
Rancher
6.
-
TYPE �FW
El ALT.
❑ AD'N. ❑ RPL. ❑ MVE.
No. Baths
No. Floors
'
FReq'd.
No. Rooms
Rec. Room
�.-
7,
OF
❑ OTHER
CERTIFICATE
Recd.
Not Req'd.
❑ BLD. ❑ PLMB.
❑ MECH: ❑ M.H. ❑POOL
WORK
of EXEMPTION
4--
/
DESCRIBE WORK
8 f FEES COLLECTED
ALUATION Source GAS ELECTRIC WATER SEWER
�O of E �S
Q, utilities Single $
I hereby certify that I have read and examined this application and have read the "NOTICE" provisions included ®O
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 �' =/ SIGNATURE_ f" Mech.
DEPT.
Env. Health
Planning
Fire Marshall
Co. Engineer
Utilities
Zone Clearance
SEPA Checklist
SPECIAL APPROVALS
REQ'D.
REC'D.
SPECIAL CONDITIONS:
W MSE RLLOWEP /N! Tt}is Plan Check
ZONE-
P1->ANr_ OK
r
DATE I7- I 1 OFFICIAL-Ad2 4
SEPA
Mobile Home
Other (Specify)
PERMIT NUM R
DATE %0 - -7q
02* *5000
*5600
*56.00
B * 0.0
543.6
10-05-79
z 6.479.
.Q
TOTAL $�
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
1'j -05'1y 43.7
A
*56.00°
A
s
N
J
a�
LL)
SC
QL
41
t