1979, 10-05 Permit: 79-5430 GaragePLAN 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.
1
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LEGAL DESCRIPTION - SEE ATTACHED
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COT ADDRESSIo IC �i %\
�i1�t el LI/lo
PARCEL NUMBER/S G4,7 I7_I
IP
Required Set Backs in FeG,1t
North T/2- (South �•
ast / IWe
AD KESS
-
[56>4 *S 17
PONE
L-48-- 7
Z P
5.
DESIGNER
PHONE9o�
Size of Parcel_
0°)C 15°
Type Const.
Occupancy
Zone Classification
s1146th t4M
Sprinklered
DYes DNo 0 Req'd.
Valuation
B u ildl ngre� in Sq. Ft.
ADDRESS
ZIP
DWL Area
Basement Are
GaM9e Are
Storage
CHANGE OF USE FROM
6.
TO
Split Entry
Split Level
Rancher
TYPE
7. OF
WORK
E,V�/NEW 0 ALT. 0 AD N. 0 RPL. 0 MVE.
IX BLD. 0 PLMB. 0 MECH: 0 M.H. 0 POOL
0 OTHER
No. Baths
No. Floors
No. Room
Rec. Room
CERTIFICATE
of EXEMPTION
Req'd
Recd
Not Req'd
DESCRIB WO K r
ea Irmo. (2_1:: < 9—(I—cI
LU�7T ON ource ELECTRIC
g. 5700 of
Utilities
WATER
SEWER
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
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
performanc• of c.nstruction.
DATE
DEPT.
SPECIAL APPROVALS
REGD. REC'D
SIGNATURE /..✓C. L d /V /
Env. Health
Planning
C/r r�ee 27/n
Fire Marshall
Co. Enginee
Utilities
Zone Clearance
SEPA Checklist
SPECIAL CONDITIONS:
I I,l 293 F-1)
b .
'/°nnw ('ry'e• bIG0455��)
DATE
/OFFI�J
Lir
�1CI
APPROVE -6 FOR ISSUANCE
FEES COLLECTED
Single $
Building
Plumbing
Mech.
Plan Check
SEPA
Mobile Home
Other (Specify)
35 00
TOTAL $
PERMIT NUMBER
-30
DATE
*3500
54292
10-05-79
B 6479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS,B COM F),IAIPE,42MI T.
54'3;05 *'35.0,0
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