1979, 10-03 Permit: 79-5224 Storage Bldg PLAN NUMBER APPLICATION/PERMIT 6 PERMIT NUMBER
SPOKANE COUNTY — BUILDING CODES DEPARTMENT /
NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509) 456-3675 DATE /o 3-71
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 4 COPIES
JOB ADDRESS 1 / LEGAL DESCRIPTION — SEE ATTACHED
1. ///3 S, Xo/e -co,apt:✓E WRAofaLE, Z✓Asf/,
LOT BLOCK SUBDIVISION PARCEL NUMBER/S .,1/16-.C/3,..- v , 'p s-`,
2. 5 S Raig//Fo. Q 4ckF 77cAG7:5 r * Z 3 8, V!1
OWNER PHONE 0 2 * , 0
3. stONA/1.F 04y '',, `71--7/‘..R7
ADDRESS ZIP Required Set Backs in Feetet/ * `3 8 0 0 Ni
SAME A.5 rJu6 95O 37 North ate. 'South rye" East /6"--e ' 'West 11 ' ' #* 38,00
CONTRACTOR PHONE Size of Parcel Zonp Classificat' n
"own/ 4 Cewv74,e1, 4"714-4,L 444s, 6-31----90/6 146?< 3 00 (� 6 8 0 0 0 CJ
4. ADDRESS y/ /) �+ ,/ ZIP Type Const. Occupancy S inklered
/a O N. FANC'/kR S�dIIAniE, WA.S "/ ye, a06 ❑Yes ❑No ❑ Req'd. 5223k
DESIGNER PHONE Valuation Building Area in Sq. Ft. 1 0-0 3-7 9
Sa.ti4' 576
5' ADDRESS ZIP DWL Area 'Basement Area Garage Area Storage 6 4 7 9,
CHANGE OF USE FROM TO Split Entry Split Level Rancher
6.
No. Baths No. Floors No. Rooms Rec. Room
TYPE IRfnNEW ❑ ALT. ❑ AD'N. 0 RPL. 0 MVE.
7. OF 0 OTHER CERTIFICATE Req'd. Recd. Not Req'd.
WORK X BLD. 0 PLMB. 0 MECH: 0 M.H. 0 POOL
of EXEMPTION
DESCRIBE WORK
8. Co'vs 7�. Q_Y X a 4/ 011,1,z;,•,5.710A4 .4' FEES COLLECTED
(ALUATION Source GAS ELECTRIC WATER SEWER
�° of
9, n260,-- Utilities
Single $
I hereby certify that I have read and examined this application and have read the "NOTICE" provisions included 4.-.3f3
0
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 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.
.44°1 ) Plumbing
DATE —�� -,-)c SIGNATURE �/ 'c'I 2..G-"--, Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS:
DEPT. REQ'D. REC'D. Plan Check
Env.Health '- ; `- SEPA
J
Planning ,.L
Mobile Home i,)
Fire Marshall —
Co. Engineer Other (Specify)
Utilities Oil
TOTAL $ . i'
Zone Clearance
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
SEPA Checklist / -'7�y ,/,,�_ ,, _ 1
DATE A-3. L 1 OFFICIALfY�h�tll i/Lort ` 1 0 - 0 51-7 9 5.2 2. 4 Z * ) 8.0 0 2 I-
APPROVED FOR ISSUANCE
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