1979, 09-26 Permit: 79-4792 Garage PLAN NUMBER APPLICATION/PERMIT PERMIT9NUMBER
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
7/ - 4
NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509) 456-3675 DATE sPT. 14,/977
APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 4 COPIES 0 2* * 56 0 0
JOB ADDRESS LEGAL DESCRIPTION - SEE ATTACHED *56 0 0 co
1. bT )4Al2-Nr y2 NP
LOT BLOCKDIIO
PARCEL NUMBER/S 17 511. 2- 06/3
* 560 0 6
2. 13 6 MLSs1ON Atpt c toW
OWNER PHONE E * 0.0 0 L
3. P,4TIM c 1< M,0 2R -S C12.4 27?s 4 79 1 2
ADDRESS ZIP
d Required Set Backs in Feet L/
cj 6,04 E. . .-5t .P S/'bKANF l L Zo(0 North /QQ 1 'South LA01 East 5T' 'West 3 , 0 9-26-7 9
CONTRACTOR PHONE Size of Parcel 1gy Eq Zone Classification
SAME 711 K 173' Apgok' AU(titcut-xfnANL-sub i 6.4 7 9
4' ADDRESS ZIP Type Const. Occupancy SprinkleredSri
v—N R 3 ❑Yes L�TNo 0 Req'd.
DESIGNER PHONE Valuation Oa Building Area in Sq. Ft.
5 6gi2.'cx 7(08
ADDRESS ZIP DWL Area tBasement Area f Garage Area Storage
CHANGE OF USE FROM TO Split Entry Split Level ��a Rancher
6. —
No.Baths No. Floors No. Rooms Rec. Room
TYPE C'�NEW 0 ALT. ❑ AD'N. ❑ RPL. ❑ MVE. ...--
i f "_-
7, OF 0 OTHER
WORK tfrILD. ❑ PLMB. 0 MECH. ❑ M.H. ❑ POOL CERTIFICATE Req'd. Rec'd. Not Req'd.
of EXEMPTION 1------.
DESCRIBE WORK
8. C"7FstRAGE e'T/- DG Ep` pp, U—re. ( %7-- 9.--41-) FEES COLLECTED
VALUATION Source GAS ELECTRIC WATER SEWER
9. 12 649-9-'XXUtilities EXl STt NSingle $
—
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 fil 570-
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 o local law regulating construction or the
performan of construction. / Plumbing
DATE /�/ X579 SIGNATURE 41 / ,
Mech.
SPECIAL APPROVALS SPECIAL Cy�wDITIO S: 1
DEPT. REQ'D. REC'D. Mo •FAME _CI Ad- LASE. rte',''
-awE4V Plan Check
Env. Health '� -rI4rC ��,C
4 ,,, >I / 1! 1 1T�'JJ C� SEPA o
/�''tai/ I—
Planning - — w
0
Mobile Home
Fire Marshall z
Co. Engineer Other (Specify)
Utilities TOTAL $ L..._,.
00
(p xy
Zone Clearance
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist PLAN .0l rhe ,,�J[�T'� "��j-7 THIS BECOMES A PERMIT. [ (�
DATE 47^/7'Z1 OFFICIAL elr/'LfMVt?L IiOL- LL 0 9 —2 6 /'9 NI 7 9.2 o * 5 U'0 0 [L (-
APPROVED FOR ISSUANCE
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