1979, 10-19 Permit: 79-6335 GaragePLAN NUMBER
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 ADDRESSle g Q-49
SU ISION j) f�
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2. 7 .R .�.� 4��-?.LCk.C.U`✓
MRIAmt
ADDRESS
f ./ �� Q-� 7f .ti /94,04.ii—B.4-CeR2.
CONTRACTOR
p[fJ �_
4. AD gRESSv..nn
ESIGNER
DESIGNER
PHONE
q2. -4&q
ZIP
99027
PHONE
LEGAL DESCRIPTION – SEE ATTACHED
PARCEL NUMBER/S) 755/ — (pie) 7
£D7 7 73A-/-(
RIVoP V/,Eh) RDD
Required Set Backs in Feet
North 44' 'South O / East ale'/ (West
Z}��j�e Classification �J
Size of Parcel -
74'N. /5o
0
aliff
ay
PERMIT NUMBER
DATE DATE/62'7-799
02* *5050
*5050
*50506
E *000
63342
10-1979
a 6479
ZIP
Type Const. Occupancy Sprinklered
Oyes ONo 0 Req'd
PHONE
Valuat on a
5D 00
Building Area in Sq. F
`:94/
ADDRESS
ZIP
OWL Mea Basement Area Garage Are
•4"
Storage
CHANGE OF USE FROM
6.
-M
TO
Split Entry Spli Le I Rancher
4
No. Floors No. Rooms Rec. Room
TYPE &NEW
7, OF
WORK O CLD.
O ALT. 0 AD N. 0 RPL. 0 MVE.
O PLMB. 0 MECH: 0 M.H. 0 POOL
0 OTHER
No. Baths
CERTIFICATE
of EXEMPTION
Req'd
Re 'd
NotReq'd.
K
DE15 GRIBE WORK
8. AJUATISource
VALUATION O Source GAS 1
9. 3cVOc Utilities
ELECTRIC
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. �(L/ ✓,�''
DATE /O•-3-7/ruSIGNATURE+(/JJ.�j-(.( / J
DEPT.
Env. Health
SPECIAL APPROVALS .
REQ'D. RECD.
Planning
/077
Fire Marshall
Co. Enginee
Utilitie
Zone Clearance
SEPA Checklist
SPECIAL CONDITIONS:
DAT'Q—/9-71FFiCIAL .R4,44w
APPROVED FOR ISSUANCE
FEES COLLECTED
Single $
Building 13O
Plumbing
Mech.
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL 5 5D
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
6'5'3,55
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