1979, 10-01 Permit: 79-5007 Garage l 4
PLAN NUMBER APPLICATION/PERMIT / J PERMITNUMBER
//G)! SPOKANE COUNTY — BUILDING CODES DEPARTMENT v Sc�o
NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509) 456-3675 DATE SWT . 2:7I12Zq
APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 4 COPIES
JOB ADDRESS LEGAL DESCRIPTION - SEE ATTACHED 02* * 7 4,0 0
1 LOT BLOCK SUBDIVISION H PARCEL NUMBER/S CJ 154-4_ 0101 * 700 n
2. 1 I LLS ADvMon/ * 74.006
OWNER PHONE D * 00
Q O O
3, p.oN Cob'NE) . g2-8 -1 yd.'s' U
ADDRESS ZIP
pq / Required Set Backs in Feet C a 6
1(olf 2 3 E, Rica' SPOKMNE [ t2(b North (South East (West •l
CONTRACTOR PHONE Size of Parcel Zone Classification 1 0-0 1 -7 9
4. _cAnn,� IS"ln Xlge 11zIRe-ct AGRIGU,LTUARAL_
ADDRESS ZIP Type Const. Occupancy ��S,,ppr/rinklered 2 6479.
V-N M-1 Elves OlCo ❑ Req'd.
DESIGNER PHONE ValIption
Oa Building Area in Sq. Ft.
90'72 Ino8
5' ADDRESS ZIP DWL Area Basement Area Garage Area Storage —
1017 B ---
CHANGE OF USE FROM TO Split Entry Split Level Rancher
6.
No. Baths No. Floors No. Rooms Rec. Room
TYPE ❑ NEW ❑ ALT. ID'N. ❑ RPL. ❑ MVE. I
7, OF ElOTHER J
WORKI'BLD. El PLMB. ❑ MECH: CIM.H. El POOL CERTIFICATE Req'd. Recd. Not Req'd.
of EXEMPTION
DESCRIBE WORK
8. ADA-110N dr- C A(2.1st�7 E 'ro ,1/Sal 1f q gesi 17o-111 FEES COLLECTED
/ALUATION Source GAS ELECTRIC WATER SEWER
l5 DO of
9. 9O 7Z- , Utilities EXI-S`'CIN Single $
—
I hereby certify that I have read and examined this application and have read the "NOTICE" provisions included syitt.
on reverse side, and know the same to be true and correct. All provisions of laws and ordinances governing this Building
type of work will be complied with whether specified herein or no metre-' ranting of a permit does not presume
to give authority to violate or cancel the provisions of any other st to or I cal law regulating construction or the
performance of constructiAn. Plumbing
DATE 9 -2_7 '7 SIGNATURE & g(-, (.;6514-"'-i'LLI--/ Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS:
DEPT. REQ'D. REC'D. D /+. 1 -r ) Plan Check
Env.Health '� r FSI IN JV
����t- / /(A L-1-LO-`" SEPA CD
0
Planning — w
0
Mobile Home
Fire Marshall 7"
Co. Engineer Other (Specify)
Utilities
Jz��Do
_
TOTAL $
•
Zone Clearance
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist -y,/ /� THIS BECOMESE A7PESRMIT. !1 '7 ^7 !�
DATE1t� 7 OFFICIAL 3-7/v(96 l J -'U 1� - / 7 5 0 fly ( Z * / 4 U 1,;,a =:
APPROVED FOR ISSUANCE _
/0
Pow:
Pate
i
1
f
/ I\
9
. (1
T;
S¢p+%C
Ta^1"•
_ _ 7/1 k
i=x..stir:_ j;)
--. / '.
i8 I ITI
r
/ ''''' ' 1
F. [ /- r
� ,
5
1..EGhL L I C 1 l:L1
.S A DD i 1'fQ R{ t
`PI.C.:T 4 ,01.3"41 "" Cf!b,1
1R ICH AV