1979, 10-09 Permit: 79-5593 GarageI
PLAN NUMBER
APPLICATION/ PERMIT
SPOKANE COUNTY - BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
PERMIT NUMBER
DATE
CHANGE OF USE FROM
TO
APPLICANT: COMPLETE NUMBERED SPACES -PRESS HARD TO MAKE 4 COPIES
Split Level
JOB ADDRESS
6.
LEGAL DESCRIPTION - SEE ATTACHED
LOT
BLOCK
2—
SUBDIVISIIIOONN�
k,
PARCELINUMBER/S -f Q
��1 � 0-71C) a
No. Baths
2.
No. Rooms
Rec. Room
S I ee_, ��`�
TYPE NEW El ALT. ElAD'N. 1-1 RPL. ElMVE.
owN
7, OF ❑ OTHER
PHONE{{��'
cild-q
CERTIFICATE
Req'd.
3.
ADDRESSSS/�
• 3W
� d,r ,
�—�
ZIP
A
2-06
Required Sett Backs in Feet
North 75'South
East West 47
I
F-=lt-'�
CRIB WORK
8. �Vt�AIE
1
VALUATIONSource GAS ELECTRIC WATER SEWER
t9'L3
of
9. :5 32 Utilities �—
TRACTOR •
pM 57M
PHONE
Size of Parcel
i® /W
Zon Classification
&1014
4•LADp
S
Z ��V,J � C 1` J
�Z+�'
ype Const.
IE-
Occupancy
Sprinklered
Dyes ❑No ❑ Req'd.
DATE SIGNATURE "
DESIGNER
PHONE
Va tions Cb
Bu in Area in Sq. Ft.
Plan Check
Env. Health
f 1J
SEPA
Planning
ADDRESS
Mobile Home
Fire Marshall
ZIP
DWL Area
Basement Area
Garage Area
Storage
PERMIT NUMBER
DATE
CHANGE OF USE FROM
TO
Split Entry
Split Level
Rancher
6.
No. Baths
No. Floors
No. Rooms
Rec. Room
TYPE NEW El ALT. ElAD'N. 1-1 RPL. ElMVE.
7, OF ❑ OTHER
CERTIFICATE
Req'd.
Recd.
Not Req'd.
BLD. ❑ Pi ❑ MECH: ❑ M. H. ❑ POOL
WORK
!!!"`
of EXEMPTION
I
CRIB WORK
8. �Vt�AIE
FEES COLLECTED
VALUATIONSource GAS ELECTRIC WATER SEWER
t9'L3
of
9. :5 32 Utilities �—
Single $
1 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
Buildings
type of work will be complied with whether specified herein or not. The granting of a permit doespresume
to give authority to violate or cancel the provisions of any other state or cal law regulati cons ction or the
performance of construction.
Plumbing
DATE SIGNATURE "
Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS:
DEPT. REQ'D. RECD.
Plan Check
Env. Health
f 1J
SEPA
Planning
Mobile Home
Fire Marshall
Co. Engineer
Other (Specify)—
Utilities
TOTAL
Zone Clearance
WHEN MACHINE VALIDATED 1
SEPA Checklist
THIS BECOMES A PERMIT.
DATE/u __/ OFFICIAL./
02* *5000
*5000
*5000
E
559.2
10-09-79
;? 6479.
i SPACE,
7jr
8