1979, 10-19 Permit: 79-6428 GaragePLAN 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 A DRESS
Q - LEGAL bESCRIPTION - SEE ATTACHED
LOT I BLOCK ISUBDIVISION PARCEL NUMBER/S
OWNER PHONE
3. !�- �7
ADDRESSI
Required Set Backs in Feet
W0
t /
(�'/
North South
East West
CONTRACTOR
PHONE
Size of Pafcel
Zone Classification
ADDRESS
ZIP
Type Const.
Occupancy
Sprinklered
[--]Yes ❑No ❑ Req'd.
DESIGNER
PHONE
Valuation
Building Area in Sq. Ft.
5.
ADDRESS
ZIP
DWL Area
Basement Area
Garage Area
Storage
CHANGE OF USE FROM
TO
Split Entry
Split Level
Rancher
TYPE 1:1 NEW
E) ALT.
ElAD'N. 1:1 RPL.
ElMVE.
No. Baths
No. Floors
No. Rooms
Rec. Room
), OF
El OTHER
❑ BLD.
13PLMB.
1:1MECH: ElM.H.
❑POOL
CERTIFICATE
Req'd.
Recd.
Not Req'd.
WORK
of EXEMPTION
DESCRIBE WORK
FEES COLLECTED
VALUATION ource GAS ELECTRIC WATER SEWER
of
Utilities
Single $
hereby certify that I have read and examined this application and have read the "NOTICE" provisions included Sj, r
)n reverse side, and know the same to be true and correct. All provisions of laws and ordinances governing this Building 'fP �"�}_t--o
:ype of work will be complied with whether specified herein or not. The granting of a permit does not presume
:o give authority to violate or cancel the provisions of any other sta r cal law r lating construction or the
performance of construction.
Plumbing
DATE IL2 �l _ SIGNA RE Mech.
SPECIAL APRROVALS'SPECIAL CONDITIONS:
DEPT- REQ'D. RECD. ;�,/. 1,`!, I�> ; n rH"t`� Plan Check
Env. Health I'G�11\ItC IrAVI jyl h 7
SEPA
Planning
Fire Marshall Mobile Home
Co. Engineer Other (Specify)
Utilities
Zone Clearance
SEPA Checklist
DATE
61 PERMIT NUMBER
r,2* *x'4.00
*24.00Y
6427
10-19-79
6.474,
TOTAL $
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
DATE '`�`�FFIC1- --- ------ __—'� �/ S
*24.0-'