1979, 07-16 Permit: 79-488 Garage APPLICATION/PERMIT PERMIT NUMBER
,4N N(4MilER
PL —
SPOKANE COUNTY BUILDING CODES DEPARTMENT 79 '-
8 8
NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509)456-3675 DATE Jfili 7 /6r 1a71
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 4 COPIES
02 * *3000
JOB ADDRESS LEGAL DESCRIPTION — SEE ATTACHED
�. � ,1/OJ� VI'- a 3000
LO BL CK UBD V S'IO PARCEL NUMBER/5 g j SG/-09L3� * 3 Q G G v
2.� J..,07--6-
X3/ K/;:& NorCH/A/.5eN A/)Z2 s 4-vr6- /34K/-t B * 0 G 0
O IER n PHONE
� ,/,li�fR f, a� ie.26-frV 9=24,-/.,k,5-F HUTCH/A/.5a/l ADD.
ti.a 7 a
3 ADDRESS ,/// p ZIP Rea •' ed et acks in Feet
7'/, //L11F '-2.0^ ./1 f n.. _ �1 wd North (South /D® ' East lv0 (West `� " 0 7— 6 7 9
COIICIT�ACTOR Jr11 PHONE Size of Parcel Zone Classification
4. ',,E. e'_ i3i)x/.moo 4,q a 6479.
S
ADDR S ZIP Type Const. Occupancy Sprinklered
sg tifA-t— Elves ❑No ❑ Req'd.
DESIGNER PHONE Valuation Building Area in Sq. Ft. J
5. ADDRESS ZIP DWL Area I Basement Area Garage Area Storage —
, 7
CHANGE OF USE FROM TO Split Entry Split Level Rancher
6.
No. Baths No. Floors No. Rooms Rec. Room
TYPE Cl NEW ❑ ALT. ❑ AD'N. ❑ RPL. ❑ MVE. /
7. OF 0 OTHER
WORK ❑ BLD. ❑ PLMB. ❑ MECH: ❑ M.H. ❑ POOL CERTIFICATE Req'd. Rec'd. Not Req'd.
of EXEMPTION X
DESCRI E WORK
8 �� c 4 j ,�.,Q-'t,� pe—� FEES COLLECTED
VALUATION Source GASLY. ELECTRIC WATER SEWER
O
9. 12 C Utilities Single $
I hereby certify that I have read and examined this application and have read the "NOTICE" provisions included c'''' —
on reverse side, and know the same to be true and correct. All provisions of laws and ordinances governing this Building 30 c''''—type of work will be complied with whether specified herein or not. The granting of a permit does not presume
*.o give authority to violate or cancel the provisions of any other state or local law regulating construction or the
Plumbing
performance of construction.
DATE 7"/Q- 7 9 SIGNATURE � /.�{ (J/��X�t90'''T Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS:
DEPT. REQ'D. REC'D. Plan Check
Env.Health Z/et
. � �_Q r\�/C
:' r'•�fr � ;) SEPA I-Planning i w
- 0..
Mobile Home c
Fire Marshall =
Co. Engineer Other (Specify)
UtilitiesD6
TOTAL $ --3e;)Zone Clearance
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist THIS BECOMES A PERMIT. n
DATE OFFICIAL 0 7 —16 —7 9 48. 82 * ) , OOal-
-
APPROVED FOR ISSUANCE
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