1979, 07-19 Permit: 79-785 GaragePLAN NUMtlER
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. E. 17324- Mont-reqomegY ROAD
LEGAL DESCRIPTION — SEE ATTACHED
LOT
2.
BLOCK
SUBDIVISION
OWNER
3 RICHRIen 14 8r —rrlE-
ADDRESS
E. loll MoN hChoMERY
CONTRACTOR
4
ADDRESS
PHONE
`/2Z-7772,
PARCEL NUMBER/S 07553-03u W. 155'
OF 1797' or TRACT /0 Pl-AT A
C�RFgNAcREs 1QQIG/-TEP qs'T SECT.
ZIP
972-0 6)
PHONE
Required Set Backs in Feet
North (South
East 'West
ZIP
Size of Parcel Zone Classification
266'xzzS'x /65'X196 Ate RIC Ut_`7URAL
Type Const.
V— N.
Occupancy
M —1
Sprinklered
❑Yes ❑No ❑ Req'd.
5.
DESIGNER
PHONE
Valuation Building Area 1 Sq. Ft.
5 76
ADDRESS
ZIP
OWL Area I Basemment Area j Garage Area
57
CHANGE OF USE FROM
6.
TO
Split Entry
Split Level
f
Storage
Rancher
TYPE
7. OF
WORK
0 NEW
1/BLD.
❑ ALT.
❑ PLMB.
A -5D N.
❑ MECH
❑ RPL.
❑ M.H.
❑ MVE.
❑ POOL
0 OTHER
No. Baths
No N>:
No. Floors
/
CERTIFICATE
of EXEMPTION
No. Rooms
Req'd.
Re . Room
MoNE
Recd.
Not Req'd.
DESCRIBE WORK .
8. ADPt?IDN of EARA4E -ro gYIS-fINrT RES IPtENRcr
ELECT
9.42880 �c
VALUATION Source GAS
O of
Utilities
WATER
SEWER
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.
DATE /1' /97Q SIGNATU
DEPT.
Env. Health
Planning
SPECIAL APPROVALS
REQ'D. REC'D.
Fire Marshall
Co. Engineer
Utilities
Zone Clearance
SEPA Checklist
SPpEC�IAL CONDITIONS:
DAT
APPRb'W3rOR ISSUANCE
- FEES COLLECTED
Single
Building
Plumbing
Mech.
Plan Check
SEPA
Mobile Home
42 3
Other (Specify)
TOTAL $
PERMIT NUMBER
—29 e7C2
DATE J UG.y 11p977
02* *2300
*2300 to -
*23008
A *GOO
78.42
07-19=79
2 6479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
07,19779 78.52
*230.OaJ
P