1979, 07-26 Permit: 79-1103 GaragePLAN NUMBER
APPLICATION/ PERMIT
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
DESCRIBE WORK
FEES COLLECTED
APPLICANT:
COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 4 COPIES
JOB ADDRESS
Source
GAS
ELECTRIC
LEGAL DESCRIPTION — SEE ATTACHED
1.
E, J1319
9. S/SD°
o
Utilities
LOT
BLOCK
I hereby certify that I have read and examined this application and have read the "NOTICE" provisions included
PARCEL NUMBER/S 095SY2.
type of work will be complied with whether specified herein or not. The granting of a permit does not presume
1S
%ISUBDIVIM
FA #c
F—PLAT �z
DATE _ SIGNATURE-
Mech.
OWNER
SPECIAL CONDITIONS:
DEPT. REQ'D. RECD.
PHONE
Plan Check
3
to so,
_0
PL" C, d K T-1�
ADDRESS
Planning
ZIP
Required Set Backs in Feet � I
/
Mobile Home
E,
q
/9
North , South I
East S West 1�
CONTRACTOR
PHONEZg2
Size of Parcel
Zone Classification
/
80 I X /SO1ACIucuL:Tu-
4.
ADDRESS
I
ZIP
Type Const.
Occupancy
Sprinklered
V—N
M — 1
❑Yes ❑No ❑ Req'd.
DESIGNER
PHONE
Valuation
Building Area in Sq. Ft.
it Si -
67
s
ADDRESS
ZIP
DWL Area
Basement Area
Garage Area
Storage
CHANGE OF USE FROM
TO
Split Entry
Split Level
Rancher
TYPE❑ NEW
❑ ALT.
lam'U'N. ❑ RPL.
❑ MVE.
No. Baths
No. Floors
[
1No. Rooms
Rec. Room
7,
OF
11 OTHER
C -BLD.
❑ PLMB.
❑ MECH: ❑ M.H.
❑ POOL
C RTIFICATE
Req'd.
Recd.
Not
WORK
of EXEMPTION
I
DESCRIBE WORK
FEES COLLECTED
$•
ST ►b
VALUATION
Source
GAS
ELECTRIC
WATER
R
9. S/SD°
o
Utilities
x$EW
L^1�TfIG
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 regulatin nstruction or the
Plumbing
performance of construction.
DATE _ SIGNATURE-
Mech.
SPECIAL APPROVALS
SPECIAL CONDITIONS:
DEPT. REQ'D. RECD.
0-t � H Le 12_22 79
Plan Check
Env. Health �i
to so,
SEPA
PL" C, d K T-1�
Planning
Mobile Home
Fire Marshall
Other (Specify)
Co. Engineer
Utilities I I TOTAL $s25,D
Zone Clearance
SEPA Checklist
-� _ /J� I THIS BECOMES A PERMIT.
DATE A�� OFFICIAL ' O —2 6 _ Il
Annnnvrn rnn i0ciiAninr
PERMITNUMBER
03 1
DATE J147 7 tf��
02* *35.00
*35,00
*35.00
B *0.00 U
1 1 0.2z
07-26-79
2 6.479,
SPACE,
i 3 °
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CX
C
LL
_ a
V
z