1979, 07-12 Permit: 79-416 Addition 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 ADDRESS
1.N 37ZO P/,P-k ROAD LEGAL DESCRIPTION —SEE ATTACHED
LOT BLOCK SUBDIVISION LOTS I "THP-kk 3 571 dF LT(' PARCEL NUMBER/S
2 sLoUG /s, oac 1+w AvF- . Abvrnon+_ 1 06543 -2 2.36
CHANGE OF USE FROM ITO
6.
Kequired Set Backs in Feet
OWNER
Sizeof Parcel
PHONE
3,
-nML S
Type Const.
2-
Sprinklered
ADDRESS
ZIP
Valuation QQ
3
x'000
92
DWL Area
CONTRACTOR
Garage Area
PHONE
N
'
4.
Split Level
Rancher
tiR
A
ADDRESS
No. Baths
ZIP
No. Rooms
Rec. Room
DESIGNER
PHONE
5.
ADDRESS
ZIP
CHANGE OF USE FROM ITO
6.
Kequired Set Backs in Feet
ZSizeNorth South 40 East C, West 12,5-
Sizeof Parcel
Zone Classification
/48' X.5-5 RREr
1AiG7KIIf.LU=Wl1QAL--5(A.e
Type Const.
Occupancy
Sprinklered
v -N I
❑Yes ❑No ❑ Req'd.
Valuation QQ
Building Area in Sq. Ft.
x'000
Go
DWL Area
Basement Area
Garage Area
Storage
N
'
Split Entry
Split Level
Rancher
tiR
A
N A
No. Baths
No. Floors
No. Rooms
Rec. Room
TYPE ❑ NEW ❑ ALT. LSI AD'N. ❑ RPL. ❑ MVE.
L�LL
7, OF ❑ OTHER
WORK C�-BLD. ❑ PLMB. ❑ MECH: ❑ M.H. ❑ POOL CATE Req'd. Recd. Not Rec
PTION
DESCRIBE WORK
8Apprnotq O F C S O / FEES COLLECTED
VALUATION Source GAS ELECTRIC WATER SEWER
9. 9 -Do o ut °hies EXI S T1
1 hereby certify that I have read and examined this application and have read e NOTICE" provisions included
on reverse side, and know the same to be true and correct. All p ons flaws and or finances verning this
type of work will be complied with whether specified he
or not. The ranting of a emit oes of presume
to give authorit to violate or cancel the provisions of any oth r state br ocal law re l�iing onstr fiction or the
performan e o constrIiionn..
DATE _ _ L L_ _ SIGNATURVZ— /
f SPECIAL APPROVALS
DEPT. REQ'D. RECD.
Env. Health
Planning
Fire Marshall
Co. Engineer
Utilities
Zone Clearance
SEPA Checklist
SPECIAL CONDITI
Single
$
Building
00
2%
Plumbing
Mech.
Plan Check
SEPA
Mobile Home
Other (Specify)
PERMIT NU BER
l (4
DATE
02* *27.00
*27.00
*27.006
A *a00
41,52
07-12-79
;9 6479.
TOTAL $
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS B COM S A P RMIT.
DATA FFICIAI. .i r `Z..'�-1- t' Z
*27,00
/Icd, �
CTb�2( �zI-dd