1979, 10-12 Permit: 79-5897 Storage BldgPLAN 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
1
L
2.
LOCK
12—
S B
l
SUB
OWNER
3.'FSE HOCl -
ADD ESS Let')
" �
NI OP41—I G 1 g Let') I
CO TRACTOR
a. GRAILESS . ''P[1J &FgL �&
ADDR
I<a ti4GNER, L P2o '�'�p�
DL*SI
L
10
LEGAL DESCRIPTION - SEE ATTACHED
IA L1J.IIf-r QtrI-r1n1J
1E
PHONE
�Zlo-S�''ti
IP
PARCEL NUMBER/S
\ 1542- - 11-110
1 PLO -K-2_ 111\1 our Ano rrl ol.l
eq red'1seett Backs in Feet''' I I
North 01 'South (JI East Lp5' (West L tad
P NE
Z-0545
Size of Parcel Zone Classification
012 I< 155'
Type Const.
Valuation
Occupancy
Sprinklered
❑Yes ❑No ❑ Req'd.
Building Area in Sq. Ft.
ADDRESS
ZIP
DWL Area 18 ement Area
CHANGE OF USE FROM
6.
TO
Split Entry
Gar22
aL01.
(4712
Split Level
Storage
Ranche
TYPE
7. OF
WORK
1 NEW 0 ALT. 0 AD N.
❑ BLD. ❑ PLMB. ❑ MECH
❑ RPL.
❑ M.H.
O MVE.
O POOL
0 OTHER
No. Baths
No. Floo
No. Rooms
Rec. Room
CERTIFICATE
of EXEMPTION
Req'd.
Rec'd
Not Req'd.
D SCRIBE WORK
8' taOT,. P 61 IA ft 16,
,l VALUATION
Source
of
Utilities
GAS
ELECTRIC
ATER
SEWER
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 stpte or local, law regulelting construction or the
performance of construction.
DATE /D -/D .- 7 7 SIGNATURE
DEPT.
SPECIAL APPROVALS -
REQ'D. REC'D.
Env. Health
CeeC7-4-7-7 /0/70
Planning
Fire Marshall
Co. Engineer
Utilities
Zone Clearance
SEPA Checklist
SPECIAL CONDITIONS:
c.
DATE/o-72 7 OFFICIAL
APPROVED FOR ISSUANCE
FEES COLLECTED
Single
Building
Plumbing
Mech.
Plan Check
SEPA
Mobile Home
Other (Specify)
1 244
TOTAL $ 4:
91U
PERMIT NUMBER
79-.589'7
DATE i6—/2.-79
02* *44.00
*44'00 17)
*44006
B *000 S
589.6 £
10-12-79
£ 6479.
WHEN MACHINE VALIDATED IN THIS SPACE,
'THIS B COMES A, PERMIT.
161ti11 '21-:7' 9
5i8'9,7s5 *440,01
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