1979, 11-19 Permit: 79-8108 GaragePLAN NUMBER
'LE,.
T/43
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 ADDRESS /,L.Q��y'V-J�t'�/
1•e LOT 6 BLOOC K �4^U BDIVISOI N 4n4 -L
2.5- .Z �1�n�.d-d.L-�.�J �•P�/.�".IA.G67�J
3R S�LZnt-LLce-�.C_
ADDRESS ,(
%Q 71144- .. itJ XJ P c
C0),T R TOR
4' Or
ADDRESS
DESIGNER
6' ADDRESS
LEGAL DESCRIPTION - SEE ATTACHED
PHONE
gzr4817
PARCEL NUMBER/S
koraat/C. z
/L4/55/aN /4 Do/r/oN
ZIP
992_o6,
PHONE
Required Set Backs In Feet
North �'y /� 'South to3 East S ' West _
Size of Parcel Zone Classificationittti
.Z9IP
9oa3
Type Const.
Occupancy -/ Sprinklered
[Nes 0N -lo 0 Req'd.
PHONE
V a%tion
,L1h/0°
Building Area Ip Sq. Ft.
46aJ
ZIP
DWL Area
Basement Area 1 Garaq A rga
Storage
CHANGE OF USE FROM
6.
TO
Split Entry
S Ile t Leyel rl
Rancher
TYPE
7. OF
WORK
'tel NEW 0 ALT. 0 AD N. 0 RPL. 0 MVE.
0 BLD. 0 PLMB. 0 MECH: 0 M.H. - 0 POOL
0 OTHER
No. Baths
No. Floors
No. Rooms 1 f Rec. Room
CERTIFICATE -
of EXEMPTION
Req'd.
Rec'd.
Not Req'd.
8• %SCRIBE WORK -�{- n
%.LLQ i G( Citi Aft.? d.LL ifhLC.�
VALUATION Source GA I ELECTRIC SEWER
3noo QQ of
Utilities
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 gran of a permit doe not presume
to give authority to violate or cancel the provisions of any other state or I p3 law re9L I, f g cons uctio94- the
performance of construction.
DATE/I` ,c5 / 9 SIGNATURE
WATER
DEPT.
SPECIAL APPROVALS
REQ'D. REC'D.
Env. Health
Planning
d/�
Fire Marshall
Co. Engineer
Utilities
Zone Clearance
SEPA Checklist
SPECIAL CONDITIONS:
��rZ�caLOK 1
1°6405 grrge6'EO
PLAI1S OK
DATE II -1944 OFFICIALS/t$A61 /
APPROVED FOR ISSUANCE
FEES COLLECTED
Single $
614zia
Building
Plumbing
Mech.
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL
$ 4* °°
PERMIT NUMBER
8/08
.DATE 11-19-7t(
02* *4'400
*4400
*44.00'
*000
81078
1).1.19-79
6479.
cc
0
—
0..
Z
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
1'1'111.9`-;719
810.88 *144002.F-
a
8_74i cz7Ad,1
/7— iyioe4)---
•