1979, 09-13 Permit: 79-3945 Steel BldgPLAN NUMBER
APPLICATION/PERMIT
SPOKANE COUNTY — BUILDING CODES DEPARTMENT ,
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 /.I509/ 456-3675
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 4 COPIES
1.
2.
3.
JOBADDRESS
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LEGAL DESCRIPTION — SEE ATTACHED
E, labiR E! AYuJELL-
CDNTRACTOR '
0.a$C 1/'s �/sr�B/ ci. Ru;.r�+/iDi NGes, r,�`-,
DESIGNER
1 V.J t/h J o r-a�sr g4t{�,r
PARCEL NUryBER/S pp ' Q
E,co' n s G•,
y'emCT �O, CPP09-
TNi}y t SpoKANe Co,
Required Set Backs in Feet
No
h Re) South
1
Ea
3'
West //
173-4704
zebeszi
Size of Parcel
9s'X Y8'
Zone Classification
AURIcttc .RAL -SUB
Type Const.
Po/ EV- N
Occupancy
M-1
Sprinklered
❑Yes DNo 0 Req'd
PHONE
Valuation
Building�ain Area Sq. F
-
ADDRESS
ZIP
DWL Area
Basement Area
Garage Area
Storage
CHANGE OF USE FROM
6.
TO
Split Entry
Split Level
Ranche
TYPE NEW
7. OF
WORK BLD.
O ALT.
O PLMB
O AD N.
❑ MECH
❑ RPL.
❑ M.H.
❑ MVE.
0 POOL
0 OTHER
No. Baths
No. 1Floors
No. Rooms
Rec. Room
CERTIFICATE
of EXEMPTION
Req'd.
Recd
Not Req'd.
RIBE WORK
8.
01.E4—t 1P S EEL nor.
=MD 5ac+s,
V LUATION
Sourc GA ELE RIC WATER SEWER
3� 0e1 oO °f
9, Utilities
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. .
nc
DATE Cl 30 ..../.2,/ SIGNATURE
DEPT.
SPECIAL APPROVALS
REQ'D. RECD.
Env. Health
Planning
\? 6,fie* r/ 9////y9
Fire Marshall
Co. Engineer
Ut fifties
Zone Clearance
SEPA Checklist
SPECIAL CONDITION
DATE
13
OFFI
APP'trD FOR ISSUANCE
.3
' FEES COLLECTED -
Single $
SSG=
Building
Plumbing
Mech.
Plan Check
SEPA
Mobile Home
Other (Specify)
00
TOTAL $ lv�
DATE
PERMIT NUMBER
79 - 3y1-5
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09-07'-79 •
2 6479.
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