1979, 10-04 Permit: 79-5358 GarageAPPLICATION/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 DDRESS
'2301 L_QCIxsY
LOT
2.
BLOCK SUBDIVISION
OWNER
3 tJ«
EvA-QC;
PHONE '
q26-s�1Z-?
LEGAL DESCRIPTION — SEE ATTACHED
NUMBER/S 7MensY eat
08543- ozZe �LL//��---// Ccw A�/
PARCEL
S 23/' d 5/ n3 IJ fz 4 FXP /91'ecQ"
ARF < S' 82.E-2' c4 C 309
ijT..-,2 30' Locus r
4Z12, 06
Required �Set ea 'South
in Feet
North/ !. LA/'South 5 East ieb
!tic tic =ORkba STEL., 1t,b
624-76716
eztrO7
Size of Parcel 7/ a Cla t:anon /
Q. Ac
ADDRESS
l oc„ IL S
1*t?o 3
G 49 >< /6.4.2 ( 1
pe Const. Occupancy
❑Ve
Sprinklered
❑No l] Req'd.
DESIGNER
PHONE
Valuation
Buil 9 Area in 5q. Ft
Mao
ADDRESS
ZIP
DWL Area I Basement Area
grOO Area
Storage
CHANGE OF USE FROM
6.
TO
Split Entry
Split Level
Ranche
TYPE
7. OF
WORK
X NEW
0 BLD.
0 ALT. 0 AD N.
❑ RPL. 0 MVE.
❑ PLMB. - 0 MECH: 0 M.H. 0 POOL
0 OTHER
No. Bath
No. Floors
No. Rooms
Rec. Room
CERTIFICATE
of EXEMPTION
Req'd.
Rec'd
Not Req'd.
CRIBE WORK
e`rnc,tte braP_Aec
VALUATION V,
a 6 67 6 O
Source
of
Utnities
GAS ELECTRIC
WATER
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 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 regulating con ruction or the
performance of construction.
DATE / 0 — 1 ? ! SIGNATURE
DEPT.
Env. Health
SPECIALAPPROVALS
REQ'D. RECD.
/%/79
Planning
Fire Marshall
Co. Engineer
Utilities
Zone Clearance
SEPA Checklist
SPECIAL CONDITIONS:
ruh, S oM rKXl
DATE OFFICIAL
APPROVED FOR ISSUANCE
FEES COLLECTED
Single $
56eQOR �"
Building ,
Plumbing
Mech.
Plan Check
SEPA
Mobile Home
Other (Specify) / O
TOTAL
PERMIT NUMBER
DATE AO -2/-79
02* *5600
*5600 1)
*56006
E *000 8
53578
10-04-79
S 6479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THISBECO,ME,$A P,E MIT.
513'5,8 *5600c?pi
1