1979, 08-13 Permit: 79-2088 GaragePLAN NUMBER
a
APPLICATION/ PERMIT
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
8. 126 — REM C. H E - r K 1 - f VX n V i N —F
VALUATION Source GAS ELEC RIC WATER SEWER
of
9. Utilities NA
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
performance of construction.
DATE -_-V—!7/ _!_9 SIGNATURE-,Z.4�,` kx ka �Y
SPECIAL APPROVALS
DEPT. REQ'D. RECD.
Env. Health
E0 LF2 LL.O
Planning
Fire Marshall
Co. Engineer
Utilities
Zone Clearance
SEPA Checklist
Single $
Building �215 , oo
Plumbing
Mech
30 PERMIT NUMBER
1 -/"1 - 20 off
DATE Amc4 13 11'71
2* j?#®6 -
*2500
a210� *0,00
07-27-79
;@ 6,479.
SPECIAL CONDITIONS:
APPLICANT:
COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 4 COPIES
R/w Coo'
JOB ADDRESS
Plan Check
gAr-A GF- L<oCl rc" p A -r
LEGAL DESCRIPTION -SEE ATTACHED
S . *16
SEPA
R15.5/D5NCF— d- OARNOE
ON shrAE
LOT
BL. CK SUBDIVISION
Mobile Home
-PW SPF -C -/N- /N140F.CTION
PARCEL NUMBER/S
2.
.3
Other (Specify)
6�
OWNER
PHONE
✓/�
7y
TOTAL $
/LSER f'R /0
WHEN MACHINE VALIDATE
5 34 -'7 '1S
RMIT.
THIS BECO A PE9
3
.
ADDRESS
ZIP
Required Set Backs in Feet
Required
'j 5 AVE
Q
/1Q7r
North South
East West
CONTRACTOR
PHONE
Size of Parcel
Zone Classification
'%5 ' x 217.93 '
RI cM IZXV —S u$
4
ADDRESS
ZIP
Ty e Const.
V
Occupancy
Sprinklered
—'
Dyes ❑No ❑ Req'd.
DESIGNER
PHONE
Valuation
Building Area in Sq. Ft.
O
5'
ADDRESS
ZIP
DWL Area
Basement Area
Garage Are
Storage
CHANGE OF USE FROM
TO
Split Entry
Split Level
Rancher
No. Baths
No. Floors
No./ Rooms
Rec. Room
TYPE ❑ NEW 11 ALT.
11AD'N. El RPL.
,���'�
ISMVE.
7,
OF
-7'l
®'9LD. ElPLMB.
ElMECH: [:1M.H.
OTHER
ElPOOL
CERTIFICATE
Req'd.
Rec'd.
Not Req'd.
WORK
of EXEMPTION
DESCRIBE WORK
FEES COLLECTED
8. 126 — REM C. H E - r K 1 - f VX n V i N —F
VALUATION Source GAS ELEC RIC WATER SEWER
of
9. Utilities NA
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
performance of construction.
DATE -_-V—!7/ _!_9 SIGNATURE-,Z.4�,` kx ka �Y
SPECIAL APPROVALS
DEPT. REQ'D. RECD.
Env. Health
E0 LF2 LL.O
Planning
Fire Marshall
Co. Engineer
Utilities
Zone Clearance
SEPA Checklist
Single $
Building �215 , oo
Plumbing
Mech
30 PERMIT NUMBER
1 -/"1 - 20 off
DATE Amc4 13 11'71
2* j?#®6 -
*2500
a210� *0,00
07-27-79
;@ 6,479.
SPECIAL CONDITIONS:
R/w Coo'
Plan Check
gAr-A GF- L<oCl rc" p A -r
3711
9:. 5--04. SF --r BOND,
SEPA
R15.5/D5NCF— d- OARNOE
ON shrAE
PARC,EL 010 L.ANP- Ot4M
Mobile Home
-PW SPF -C -/N- /N140F.CTION
FF-f-� r-HARC
R.v---F-Wr N& �% / �- Z 3�L
Other (Specify)
6�
✓/�
7y
TOTAL $
WHEN MACHINE VALIDATE
RMIT.
THIS BECO A PE9
G
-?!7j-3
DATE/OFFICIAL
Annnnvrn rnn 10011AKIrIr
IMES
�� —y —� "
SPACE,
%L .B *25.00