1979, 10-24 Permit: 79-6637 GaragePLAN NUMBER
APPLICATION/ PERMIT
SPOKANE COUNTY - BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
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APPLICANT:
COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 4 COPIES
1
J B ADDRESS
� SS
�
ELECTRIC—j
LEGAL DESCRIPTION — SEE ATTACHED
--`SEWER
BL' CK
SUBDIV� N
PARCEL NUMBER/S I -;z,
— Z 70 -;7-
2
/
�lf
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
OWNER
to give authority to violate or cancel the provisions of any other state or local law regulating construction or the
performance of construction.
E
DATE SIGNATURE
Mech.
SPECIAL APPROVALS
SPECIAL CONDITIONS:
DEPT. REQ'D. RECD.
A
rL A r' �)�4+
Plan Check
Env. Health
10 ---2-—
( l
A
RESS
SEPA
Planning
ZIP
Required Set Backs in Feel
Fire Marshall
,,,' , _
�'JJ/�
Mobile Home
Other (Specify)
Co. Engineer
N�orth South `
East West
CONTRA OR
PHONE
Size of PPtarcel
Zon Class ificati n
OccupancySpri
le, W
4.
ADDRESS
ZIP
Type Const.
klered
❑Yes $(N ❑ Req'd.
DESIGNER
PHONE
Valuption
Building Area in Sq. Ft.
5'
ADDRESS
ZIP
DWL Area
Basement Area
Garage Area
Storage
7,'7-0
CHANGE OF USE FROM
TO
Split Entry
Split Level
Rancher
6.
TYPE (�EW ❑ALT.
❑ AD'N, ❑ RPL.
❑ MVE.
No. Baths
No. Floors
No. Rooms
Rec. Room
7,
OFIP/
❑OTHER
WORK LK BLD. ❑PLM B.
13MECH: ElM.H.
El POOL
CERTIFICATE
Req'd.
Recd.
Not Req'd.
of EXEMPTION
DESCRIBE WOR
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<` �
FEES COLLECTED
VALUATION
S urce
GAS
ELECTRIC—j
WATER
--`SEWER
9 CP [/
of
Utilities
T
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 SIGNATURE
Mech.
SPECIAL APPROVALS
SPECIAL CONDITIONS:
DEPT. REQ'D. RECD.
A
rL A r' �)�4+
Plan Check
Env. Health
10 ---2-—
( l
`'
SEPA
Planning
I�
! i
Fire Marshall
,,,' , _
�'JJ/�
Mobile Home
Other (Specify)
Co. Engineer
PERMIT NUMBER
-1R- (,6,-5-7
DATE
02* *5600
*56.00 C
663,4-5
10-24-79
6479.
Utilities
TOTAL $
Zone Clearance
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist
THIS .BF�COM)E/[S P� MIT. x J
DATE 4 �d OFF^CIA ....- / -J ��-_. L `t U (1 J, l z * 5 6, 0
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