1979, 07-27 Permit: 79-1167 Garage )
PLAN NUMBER APPLICATION/PERMIT PERMIT NUMBER
SPOKANE COUNTY — BUILDING CODES DEPARTMENT 7,' - i l 7
NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509) 456-3675 DATE cI'v(L- 20 luZ/
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 4 COPIES 0 2 * 1 * 6 6 0 0
JOB ADDRESS * 6600 N
1, E. I360 8 Ra H LEGAL DESCRIPTION — SEE ATTACHED L
LOT BLOCK SUBDIVISION PARCEL NUMBER/S 035-L/1_24oz, t 16.6$
2. BLoCc 5N- •E.xc E. 153 ' a.c C s. /301 07-27-79
OWNER PHONE "I"RE.IYTWOOP 0124:fr pri
3. "To M. R. r.A3 E Rs-Pc c 4}E.K. 92.2.-22_75 2 6 4 7 9.
ADDRESS ZIP Required Set Backs in Feet
F- I3i®z? g►cHSPox.QNF. gciZ16, North (South East (West
CONTRACTOR / PHONE Size of Parcel Zone Classification
4. 5fr Mr AG2,1CU.L`c14 A/
ADDRESS ZIP Type Const. Occupancy Sprinklered
y`N M-.4i 1 Oyes ❑No ❑ Req'd.
DESIGNER PHONE Valuation 1jBuildingjArea in Sq. Ft.
5 /*O0i
ADDRESS ZIP DWL Area I Basement Area Garage Area Storage —
CHANGE OF USE FROM TO Split Entry Split Levelb/. Rancher
6. , —_
,�,r No. Baths No. Floors No. Rooms Rec. Room
TYPE Ifd"NEW ❑ ALT. ❑ AD'N. ❑ RPL. ❑ MVE. / NO
N
N
7, OF ❑ OTHER CE
A�
WORK BLD. ❑ PLMB. ❑ MECH: ❑ M.H. ❑ POOL CEEERTIFICATE Req'd. Recd. Not Req'd.
of EXEMPTION
DESCRIBE WORK A
-
8. C I Zt+f `�PPTA C., f� - ipg L UAT> FEES COLLECTED
VALUATION Source GAS ELECTRIC WATER SEWER
o9. *5-000 p'" Utilities Ex/S`T/Wt Single $
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 Building '1,66 f 5''
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 la regulating construction or the
performancemaJ+� of
construction. Plumbing
DATE_ljj "cam'.-7 SIGNATU'� 1 .at - _ .. . Mech.
�L SPECIAL APPROVALS SPECIAL CONDITIONS:
DEPT. REQ'D. REC'D. T/tag OK 7 2,790-1;) Plan Check
Env.Healthv_
,' c
` ,:( f7 -7 :,..2_.e- /.7 SEPA R
/ `� J
Planning rd
Mobile Home `')
Fire Marshall
Co. Engineer Other (Specify)
Utilities
TOTAL $
Zone Clearance
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist ° THIS BECOMES A PERMIT.
�7 /7� c�---5 07 -27 - 79 116, 75 *66. 00 ° � _
DATE OFFICI
APPR OR ISSUANCE
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