1979, 08-10 Permit: 79-1978 GaragePLAN NUIE ER
APPLICATION/PERMIT
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / 15091 4563675
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 4 COPIES
;7;3oADDRESS
1. 0t 6 Jenorc
LEGAL DESCRIPTION — SEE ATTACHED
LOT
2.
BLOCK
/L
SUBDIVISION
Sty(///c0
4c -re
O rlE
ADDRESS /
5/„1oo? h-e-nOra_
ONTRACTOR
4.11471,7/ N J/en 4snei
ADDRESS
'£OX Irjb7 S,O. als1
DESIGNER
6. $94,
ADDRESS
PHONE
Pay
ZIP
PARCEL NUMBER/S pS/s'(/(/ - /b OS
A S €1t /d Sey w e At �, ,9dd
Required Set Backs in Feet
North 'South
East 'West
PHONE
Size of Parcel Zone Clas Ificat on
Psx /e o 5_}n�1.
ZIP
cArA/y
Type Const.
1=r.
Occupancy
Sprinklered
❑Yes ❑No 0 Req'd.
PHONE
Valuation I Building Area In Sq. Ft.
ZIP
DWL Area !Basement Area Garage Area
II!!'TT
Storage
CHANGE OF USE FROM
6.
TO
Split Entry
Split Level
Rancher
TYPE
7. OF
WORK
❑ NEW
Ice BLD.
❑ ALT.
❑ PLMB
ISI AD N.
0 MECH
❑ RPL.
❑ M.H.
❑ MVE.
❑ POOL
0 OTHER
No. Baths
No. Floors
No. Rooms
Rec. Room
CERTIFICATE
of EXEMPTION
Req'd.
Rec'd.
Not Req'd.
DESCRIBE WORK8. kid/ frje,ef
o2 Car fSo
Oce
of
VALUATION urce
pJ
a _S -72S ---Utilities
e
GAS
fO .:2)0 fI r9 4c, c J -t
ELECTRI WATER
SEWER
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 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. a
DATE
SIGNATURE
l
DEPT.
SPECIAL APPROVALS
REQ'D. RECD.
Env. Health
Planning
8477
Fire Marshall
Co. Engineer
Utilities
Zone Clearance
SEPA Checklist
SPECIAL CONDITIONS:
MAIL, I u 5o'< 14-7‘,-7
'SIM AN
9912t
DATEY ' 'OFFICIAL
APPROVED FOR ISSUANCE
FEES COLLECTED
Single $
Building )CJ
Plumbing
Mech.
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL $
0
T
PERMIT NUMBER
79-/972'
DATE __2'/D — 7y
02* *3500
*3500
*35006
A *000 a
1833B
08-08-79
2 6479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
08`,,110-79
197:8 Z
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