1979, 10-16 Permit: 79-6069 GaragePLAN NUMBER
APPLICATION/PERMIT
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
PERMIT NUMBER
79-60%9
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (5091456-3675 DATE D—/G— 79
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 4 COPIES
1.
JOB
J ADDRESS
Pit P ^ ,y]
LOT, 3 BLOCK ?LIS SFU 861 ION••f9'L�/�
LEGAL DESCRIPTION — SEE ATTACHED
SNER
3./vt
ADDRESS
Th.. ! g9 .P,clJ ,?',e- A. 42444ct
NT)RACG{hT,, OR - aa
7'Y(.I iXLYJ ibiA)17
AD it ESS
DESIGNER
4.
6' ADDRESS
PHONE
`>--349
PARCEL NUMBER/S(54.5.04--0-321/43
SJD/N, 16;6 ExL', w, +'rN,b'c>/e�
/-3
S, /G i.e2T / .t -KH' �/RSr AD
T1D A-/RAYDV/.'SW ACRES
ZIP
Required Sept Backs In Feet / I /
North9. _ (Southe) `East /IT 'West g ,
PHONE
29.2- S'Sb 9
ZIP
99aa9
Size of Parcel - Zone Classification
aq.40 r,u,6et ve--
Sprinklered
DYes �vo l0 Req'd.
Type C� o/nst.
VIV
Occupancy
nt-i
PHONE
Valuation Building Area in Sq. Ft.
,61.56e° G 44 -
ZIP
DWL Area I Basement Area 1 Garage Area
Cv z1
Storages
CHANGE OF USE FROM
6.
TO
Split Entry
Split Level
Rancher
TYPE J] NEW
7. OF
WORK BLD.
❑ ALT.
❑ PLMB
.K AD N. 0 RPL. ❑ MVE.
0 MECH: ❑ M.H. 0 POOL
0 OTHER
Noo. B
No. Floprs
No. Rooms
/
CERTIFICATE
of EXEMPTION
Req'd.
Recd.
Not Req'd.
D SCR's WORK /
ELECTRIC
iiy�d�VALUATION
9. r/Jr
Source
of
Utilities
GAS
4
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 correc . 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 /D-//-79
DEPT.
Env. Health
Planning
SPECIAL APPROVALS
REQ'D. REC'D.
Gz 3 9 / DA/77
Fire Marshall
Co. Engineer
Utilities
Zone Clearance
SEPA Checklist
SPECIAL CONDITIONS: ,
DATE
/ OFFICIAL
APPROVED FOR ISSUANCE
FEES COLLECTED
Single $
%
-1-
1
r
1.1
-
r