1979, 09-05 Permit: 79-3422 Garage_AN 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
JOB ADDRESS
-7
L1041-7
�-T- "
LEGAL DESCRIPTION —SEE ATTACHED
LOT
BLOCKISUBDIVTS—ION
Source
GAS
ELECTRIC
PARCEL NUMBER/SC 2 —0(!,) 01
SEWER
I
n
of
�..�
v/
Utilities
OWNER���
/ ��C! �C� ,Z
PHO
E–
ADDRREES'S
/�
ZI
�/'r ®�
Required Set Backs in FeetF�
ro
�lJ
rformance of construction. r
North South i�—l.�
East West
CON RACTOR
aTE / SIGNATURE_ ! ��
P110
E
Size of Parcel
Classification
y�
�m
Plan Check
:nv. Health �
r
1 � �'(JL „v
/n
SEPA
'fanning
I iI�V l% .���`�� �J✓��
'ire Marshall
ADDRESS
Mobile Home
ZIP
Type Const.
Occupancy
Sprin
lered
:one Clearance
WHEN MACHINE VALIDAT
❑Yes ❑No ❑ Req'd.
DESIGNER
THIS BECOMES A PERMIT.
it_S_7Q
PHONE
Valuation
Building Area in Sq. Ft.
ADDDrnIrn Gno IccllAnfr, C
0
ADDRESS
ZIP
OWL Area
Basement Area
Garage Area
Storage
CHANGE OF USE FROM
TO
Split Entry
Split Level
Rancher
TYPE i�NEW EI ALT.
❑ AD'N. 13 RPL. ElMVE.
No. Baths
No. Floors
No. Rooms
Rec. Room
OFp��
gill"
ElPLMB.
ElMECH: 11M.H. El POOL
❑ OTHER
CERTIFICATE
Req'd.
d.
Recot
NReq'd.
WORK
of EXEMPTION
DE CRIBE WORK
FEES COLLECTED
PERMIT NUMBER
71-3 lk2 2,
DATE SF -P -r 57 M 7
02� *40.00
*40.00
*4000
B *0.00
342.1 �
09-05-79
� 6,479.
S SPACE.,
VALUATION'
Source
GAS
ELECTRIC
WATER
SEWER
n
of
�..�
v/
Utilities
Single $
hereby certify that I have read and examined this application and have read the "NOTICE" provisions included
I reverse side, and know the same to be true and correct. All provisions of laws and ordinances governing this
Building/
pe of work will be complied with whether specified herein or not. The granting of a permit does not presume
give authority to violate or cancel the provisions of any other state or local law regula Ing construction or the
rformance of construction. r
Plumbing
a
aTE / SIGNATURE_ ! ��
Mech.
SPECIAL APPROVALS
SPECIAL CONDITIONS:
)EPT. REQ'D. RECD.
�m
Plan Check
:nv. Health �
r
1 � �'(JL „v
j��wy
�
SEPA
'fanning
I iI�V l% .���`�� �J✓��
'ire Marshall
MAIN
Mobile Home
:o. Engineer
Other (Specify)
ltilities
TOTAL $�
:one Clearance
WHEN MACHINE VALIDAT
EPA Checklist
GLANS DK
THIS BECOMES A PERMIT.
it_S_7Q
DATE 1–`S=I.4 OFFICIALQ'ndp-✓e►��
ADDDrnIrn Gno IccllAnfr, C
PERMIT NUMBER
71-3 lk2 2,
DATE SF -P -r 57 M 7
02� *40.00
*40.00
*4000
B *0.00
342.1 �
09-05-79
� 6,479.
S SPACE.,
Ow
I A
RS
CO
w