1979, 09-10 Permit: 79-3632 Garage PLAN N;rMBER APPLICATION/PERMIT PERMIT NUMBER
SPOKANE COUNTY — BUILDING CODES DEPARTMENT 71 — 3('3.,._
NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509) 456-3675 DATE 67—/D�79
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 4 COPIES
JOB ADDRESS 0 2* * 2 5 0 0
nn LEGAL DESCRIPTION — SEE ATTACHED
�. f+ � 70� '� -- * 2500 tn
LOT L CK SUBDIVISION PARCEL NUMBER/S ey.:2,5-,yC/_e" /i Y
2. aCO� 7 IXC �. � / r3/ � 3 * 2500 0
NER PHONE E * Q O O U
_4.06
SO 43,
DDRESS , ZIP Required Set Backs in Feet 3 6 1
e % 74)6 i/°�}1•i �,.�."v'l.a l_ j,/,(24P %cz-L 9-'1Z4-' North 1•1/ i 'South 3 i East .3 West 3Ei,408
CONTRACTOR / PHONE Size of Parcel , Zone Classification 0 9- 1 0-7 9
/,'/.4 6,S, &S' X /3 a/ C( . 4,-t'- 2 6,4 7 9,
4' ADDRESS ZIP Type Const. Occupancy Sprinklered
."44�,"-kl/4-- ❑Yes ❑No ❑ Req'd.
DESIGNER l� PHONE Valuation Building Area in Sq. Ft.
It emi
5' ADDRESS ZIP DWL Area I Basement Area Garage Area Stora e —
4.?o i
CHANGE OF USE FROM TO Split Entry Split Level Rancher
6.
No.Baths No. Floors No. Rooms Rec. Room
TYPE 14 NEW ❑ ALT. 0 AD'N. 0 RPL. 0 MVE. — — —
7. OF 0 OTHER
WORK bll BLD. ❑ PLMB. ❑ MECH: 0 M.H. ❑ POOL CERTIFICATE Req'd. Rec'd. Not Req'd.
of EXEMPTION )
DESCRIBE WORK FEES COLLECTED
8. 3.154-4-72—i �l ,
VALUATION n e GAS ELECTRIC WATER SEWER
., d of
9. 3,6' Z)Z-) Utilities Single $
I hereby certify that I have read and examined this application and have read the "NOTICE" provisions includeda
on reverse side, and know the same to be true and correct. All provisions of laws and ordinances governing this Building •zS0
type of work will be complied with whether specified herein or not. • granting of . permit does not presume
to give authority to violate or cancel the provisions of any other sta • •r local la eg sting cons u nor the
performance of construction. , Plumbing
DATE O -ci/'• 7 ! SIGNATURE .11.." L .<L ! Mech.
SPECIAL APPROVALS ECI'L CONDITIONS:
DEPT. REQ'D. REC'D. // Plan Check
Env.Health '!/�(,GG.� 6 o.o /
. 6 j -/,�7 "ll c��I' SEPA o
Planning ! 71-,e— ,..1.44,6' �� l-
f - w
0-
Mobile Home cn
Fire Marshall z
Co. Engineer Other(Specify)
Utilities J � OD
TOTAL $
Zone Clearance
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist THIS BECOMES A PERMIT. [ }2 ('
DATE_71-7Cj OFFICIAL �-�v,4 0 7 _1 U nU/ 9 ) 3. z * 2 5.'U 0 2_ •
APPROVED FOR ISSUANCE _
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