1979, 08-10 Permit: 79-2003 GaragePLAN NU$1BER
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.
2.
3
JOB ADDRESS
/ SUB 81/3 E -
LOT BLOCKUB V//ISION
gat., Pr t0. zrze4e 1.747n4.6I a o'.
5.
OWNER
,5-70A/ 1 %O L -Li 2£,
DDRESS
LEGAL DESCRIPTION - SEE ATTACHED
PHONE
921- 74{/7
A
fl(3C/NTRACTOf;�-4A
/ c /CSR /ILU /q/ N7 S' c e, J
ADDRESS V e X / $7D spa Cd1V C /.4
ZI P
990/L
PHONE
9
2 -C -62S /
DESIGNER
ADDRESS
ZIP
�j`jZt fL
PHONE
ZIP
CHANGE OF USE FROM
6.
TO
PARCEL NUMBER/SaKa rQ-6(yets
Lar i3. --ft 7
Required et Backs Feet
p/ /
North e/I 'South 7� East .57/ West r1
Size of arcel - Zone Classlfica Won
est
Const. Occupancy prinklered
❑Ves ❑No 0 Req'd.
Valuation Building Area in Sq. Ft.
DWL Area I Basement Area ( Garage Area Storage 1/21
Split Entry
Split Level
Rancher
TYPE
7. OF
WORK
EW 0 ALT. 0 AD N.
0 BLD. 0 PLMB. ❑ MECH:
❑ RPL.
❑ M.H.
❑ MVE.
❑ POOL
0 OTHER
No. Baths
No. Floors
CERTIFICAT
t
of EXEMPTION
No. /Rooms
Req'E.
Rec. Room
Re 'd.
Not Req'd.
DESCRIB WORK
8. c LX 3 a 6:45e46-1 .— -
VALUATION
9. 7�5o.S
I hereby certify that I have read and examined this applica ion 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 regulaping construction or the
performance of construction.
DATE O —9 -7q SIGNATURE
Source
• - of
Utilities
GAS
ELECTRIC
WATER
SEWER
DEPT.
SPECIAL APPROVALS
REQ'D.
REC'D.
Env. Health
Planning
(11'
efit;-49 V4/7
Fire Marshall
Co. Engineer
Utilities
Zone Clearance
SEPA Checklist
SPECIAL CONDITIONS:
P d/666,4 RR/tad-Ka.
DAT E9a6-79O F FI CI A L, tit %4r{:
APPROVED FOR ISSUANCE
FEES COLLECTED
Single $
,/
Building f4/000
Plumbing
Mech.
Plan Check
SEPA
Mobile Horne
Other (Specify) -
TOTAL $ 7D
0
r. -_
PERMIT NUMBER
701- a3
DATE SI—iD -7 9
02* *4000
*40.00 ts
*40006
E *000 8
20Q2t
08-10-79
2 6479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
0810-79 2003=
*40.002p
t
_60'
o•f
4
6
=�: 4^Ii_C6;;: ,le