1979, 08-15 Permit: 79-2216 ResidenceIAN NUMBER
�P—
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
H. 47O ' 1,11)2fikti
LOT LOCK SUBDIVISION
3.
owls
1two
ADD ESS��� lnZ 0
CONTRACTOR_
4.
ADDRESS
HONE
LEGAL DESCRIPTION - SEE ATTACHED
PARCEL NUMBER/S O) 4J — 0604 -
Required Se Backs in Feet
North 111'' 'South l East $Z;
Zone Classification
Size of Parcel
ZIP
Type Const.
IOcc,)Jpancy
K •'3
Sprinklered
❑Yes %No 0 Req'd.
DESIGNER
PHONE
Vaation
ADDRESS
ZIP
CHANGE OF USE FROM
6.
TO
CJ N W
- :-
Building Amin Sr. Ft.
DW�reta �BasemenSAr� r Garage ea
Q/CplSplij Entry �j2J7C'ULSplit Leve
Storage
Rancher
TYPE
7. OF
WORK
0 ALT. ❑ AD'N.
BLD. 0 PLMB. 0 MECH.
❑ RPL.
❑ M.H.
❑ MVE.
O POOL
0 OTHER
No. Baths
No. Floors
No. Rooms
c=�
Rec. Room
CERTIFICATE
of EXEMPTION
Req'd.
Rec'd.
Not Req'd.
9.
DCV" VE'67 4 i LL ri I V -r
of
V A L�},J{\T I OjN Source
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 state or local law regulating construction or the
performance of construction.
5o
Utilities
GAS
ELE7J 1C
DATE
/
DEPT.
SPECIAL APPROVALS
REQ'D. REC'D.
SIGNATURE
Env. Health
7e)6 , tt o j0 7
Planning
Fire Marshall
Co. Engineer
Utilities
Zone Clearance
SEPA Checklist
SPECIAL Ci ',ITIONS:
EA 12( 1
12Ltkr
LDo,1
LNC kfrivc1-0
r'ie zHoor7)
DATE
FEES COLLECTED
Single
Building
Plumbing
Mech.
Plan Check
SEPA
Mobile Home
Other (Specify)
70,00
OG..
TOTAL $
PERMIT NUMBER
-7q--ZZ/
DATE
02* *7000
*7000
*70006
E *000 8
221.52
08-15-79
1 6479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
08-15-79
22162 *70,002
Lar ?I ' �l_OcaM'
Pg.Pti)ai) 7 ADD,
-'psnr;.2!n.i was ti
1.0
NO -. DESCPIPTIO
INDUSTRIAL .DRAFTING