1979, 11-29 Permit: 79-8501 GaragePLAN NUMBER
z—
APPLICATION/PERMIT
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
8 FEES COLLECTED
VALUATION Source AS ELECTRIC WATER SEWER
IV of _
9. � � utilities Single $
1 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 ---{III-----rrr--- d ---J
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
Plumbing
performance of construction.
DATE 11-21 `� ! 9 SIGNATURE '`
Mech.
SPECIAL APPROVALS SPECIAL CONDITI NS: y11n p A
DEPT. REQ'D. RECD. rL—Arf , e7t r-1 LJ; � A- 19 r �/� Plan Check
Env. Health
Planning
Fire Marshall
Co. Engineer
Utilities
Zone Clearance
SEPA Checklist
CON916<'T fi-16e, 'ro a N r -r-
co 01fire-k�-PIZ
PLADS A-i"1t-11
Jr4 -T I-}1 , wO N Z -
DATE OFFICIAL 4-A1nLk-1-2>
SEPA
Mobile Home
Other (Specify)
TOTAL $_
DATE
PERMIT NUMBER
02* *44,00
*x14,00
825,6
1 1 -21-79
6479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT. 11
*44 1 i"{i
y
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 4 COPIES
JOB ADDRESS
ylD E.
LEGAL DESCRIPTION — SEE ATTACHED
1.
J
LOT BLOCK
SUBDIVISION
PARCEL NUMBER/S
2.
I
i`.�.'�,K
�,�
ISL�%'
ri 5' 3 3 1 I I
rI)ONE or 15 L41 oy-c�i � �. // 7, 5
OWNER
PH
3.
.�Y-3 43
o % 1
ADDRESS
ZIP
Nort„red Bac s in Feet
I
5 l ,
�
Set
South aO East West
CONTRACTOR
f
PHONE
Size of Parcel
Zon Classification
4.
ADDRESS
1/
ZIP
Type Const.
Occupancy Sprinklered
f �i, �'
y1 ,y T
�(�
❑Yes ❑No El Req'd.
DESIGNER
PHONE
Valuation
Building Area in Sq. Ft.
5.
43 V i is
t<. l-
`7.2. C a
ADDRESS
ZIP
DWL Area
Basement Area
Garage Area
Storage
9!IZ 710
+
CHANGE OF USE ROM
TO
Split Entry
Split Level
Rancher
6.
TYPE yy 1:1 ALT.
ElAD'N.
11 RPL.
ElMVE.
No. Baths
No. Floors
No. Rooms
Rec. Room
],
OF
1:1 OTHER
CERTIFICATE
Req'd.
Recd.
Not Req'd.
WORK BLD. ❑ PLMB. 1-1MECH: ElM.H. ❑POOL
of EXEMPTION
DESCRIBE WORK
8 FEES COLLECTED
VALUATION Source AS ELECTRIC WATER SEWER
IV of _
9. � � utilities Single $
1 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 ---{III-----rrr--- d ---J
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
Plumbing
performance of construction.
DATE 11-21 `� ! 9 SIGNATURE '`
Mech.
SPECIAL APPROVALS SPECIAL CONDITI NS: y11n p A
DEPT. REQ'D. RECD. rL—Arf , e7t r-1 LJ; � A- 19 r �/� Plan Check
Env. Health
Planning
Fire Marshall
Co. Engineer
Utilities
Zone Clearance
SEPA Checklist
CON916<'T fi-16e, 'ro a N r -r-
co 01fire-k�-PIZ
PLADS A-i"1t-11
Jr4 -T I-}1 , wO N Z -
DATE OFFICIAL 4-A1nLk-1-2>
SEPA
Mobile Home
Other (Specify)
TOTAL $_
DATE
PERMIT NUMBER
02* *44,00
*x14,00
825,6
1 1 -21-79
6479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT. 11
*44 1 i"{i
y
12- - t7