1979, 09-05 Permit: 79-3434 Garage11 PLAN NUMBER
r APPLICATION/ PERMIT
8
SPOKANE COUNTY —BUILDING CODES DEPARTMENT
VALUATION
!� U
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
GAS ELECTRIC
APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 4 COPIES
SEWER
JOB ADDRESS
LEGAL DESCRIPTION - SEE ATTACHED
of
Utilities
�-r v
Single $
LOT
BLOCK
UBDI I ION
PARCEL NUMBER/S dq _ D�
2.
Building/
type of work will be complied with whether specified herein or not. The granting of a permit does not presume
c oT to .3.LKa
OW ER
to give authority to violate or cancel the provisions of any other state or local law regulating construction or the
HONE
3.
performance of construction.
Plumbing
a 9-Y Z/
cle,65 R,, --P4 7 -
Mech.
AD ESS
•
ZIP
Required Set Backs in Feet
t% b�
/
North South East West
Env. Health
CONTR,"C OR
PHONE
Size of Parcel
f
Zo a Classificatio�nl
SEPA
Planning
C
4.
D RiESS
Mobile Home
ZIP
Type Const.
Occupancy
Sprinklered
C �,�
��
Co. Engineer
El ❑No ❑ Req'd.
ESI NER
PHONE
Valuation
Building Area in Sq. Ft.
5'
TOTAL $
Zone Clearance
AD RESS
ZIP
DWL Area
Basement Area
Garage Area
Storage
THIS BECOMES A PERMIT.
7 a- ----��
G 9— n 5 —,
CHANGE OF USE
FROM
TO
Split Entry
Split Level Rancher
6.
A&,C
TYPE ❑NEW
El ALT. � AD'N. 1:1 RPL. 1:1MVE.
No. Baths
No. Floors
No. Rooms
Rec. Room
7,
OF
❑ OTHER
CERTIFICATE
Req'd.
Recd.
Not Req'd.
❑ BLD.
❑ PLMB. ❑ MECH: ❑ M. H. ❑ POOL
WORK
of EXEMPTION
u PERMIT NUMBER
1 -751
DATE
DES RIBE WORK
FEES COLLECTED
8
VALUATION
!� U
Source
GAS ELECTRIC
WATER
SEWER
n
9. (� �L�
of
Utilities
Single $
1 hereby certify that I have read and examined this application and have read the "NOTICE" provisions includedf3�'Dd
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 eC�- 72 SIGNATURE_
Mech.
SPECIAL APPROVALS
SPECIAL CONDITIONS:
DEPT. REQ'D. RECD.
Plan Check
Env. Health
`3 — c,
SEPA
Planning
Mobile Home
Fire Marshall
Other (Specify)
Co. Engineer
"zs fda
Utilities
TOTAL $
Zone Clearance
WHEN MACHINE VALIDATED IN THI
SEPA Checklist
THIS BECOMES A PERMIT.
7 a- ----��
G 9— n 5 —,
02* *31.00
*31.00
*31.00
B *0,00
343.3
09-05-79
2 6479,
e
r,
DATE OFFI nn�nn� i n �inr 7 )' 4 3, 11. 0 * 3 1 n n o -
n n nnvrn
n
0
n
A je S// 6 k-) AVS
�Q
pRov
!ARA (z�
0
i