1979, 08-27 Permit: 79-2921 Garageti
PLAN NUMBER
APPLICATION/PERMIT
SPOKANE COUNTY - BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675 DATE
02* *3Q00
*3Q00
*3Q006
2. 0 A *Q00
PERMIT NUMBER
'79 - 7' 2 (
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 4 COPIES
JOBfyDDRESS
Q
BLOCK
2
tSYnDIVUI�A I9 TtC
iI510N - /� or. i L' lkzr c
LEGAL DESCRIPTION — SEE ATTACHED
PARCEL NUMBER/S „ 3
562
_ 03
b
3
4. AD DRE-SS�S
DESIGNER
WNER
z r Nok,
DRESS _
716
ACTOR
V A LICA
/]r4
Mo 'ry Sr
5. ADDRESS
PN
3521
PHO E
PHO E
9ra-0 38
ZIP
PHONE
Required 7 Set,packs in Feet / I `_
North vir) ISouth 3 D `East ��
Size of Parcel
Type Const.
Valuation
Occupancy
(West J0'
la slflc t19^
Sprinkler d
❑Yes ❑No 0 Req'd.
one
Buildir Area in Sq. Ft.
ZIP
DWL Area I Basement Area ( Gara9¢ Area
f� I�7
Storage
CHANGE OF USE FROM
6.
TO
Split Entry
Split Level
Rancher
TYPE
2. OF
WORK
/'r NEW
BLD.
❑ ALT.
❑ PLMB.
❑ AD N.
❑ MECH.
❑ RPL.
❑ M.H.
❑ MVE.
❑ POOL
0 OTHER
No. Baths
No. Floors
No. Rooms
Rec. Room
CERTIFICATE •
of EXEMPTION
Req'd.
Recd.
Not Req'd.
SCRIBE WO \
s. at 't, Gar& C J 8x3 0
.V�Doo Jource GAS
F/fl/OD f/"/of s
9. Utilities
ELECTRIC
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 correc . 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
perform., ce of construction.
DATE
DEPT.
SPECIAL APPROVALS
REO'D.
RECD.
SIGNATURE
Env. Health
Planning
Fire Marshall
Co. Engineer
Utilities
Zone Clearance
SEPA Checklist
SP -CON ITIONS:
DATE
OFFICI
APPROVED, OR ISSUANCE
FEES COLLECTED
Single
Building
Plumbing
Mech.
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL $
29201
08-27=79
1 6479.
Ir
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS�gCOME,SIA RE,fiMIT.
2.9212 *3a00
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