1979, 08-24 Permit: 79-2771 Garageming
PLAN NUMBER
APPLICATION/PERMIT
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 4 COPIES
JOB ADDRESS
LOT SUED VIS ON
P4e J -.54(2,(14 -
2.
BLOCK
LEGAL DESCRIPTION — SEE ATTACHED
OAVNER
PHONE
PARCEL NUMBER/S Jt��-j 27I 3 _ ocJG-t
,CC LJi
C ,Ukr'5 PARK CI -CB TRACT
ADDRESS
CONTRACTOR
4. ,4[;
AD
a9RESS
.
DESIGNER
5.
ZI P
PHONE
ZIP
PHONE
Required Set B cks in Feet
North/Q*J ISouth LEast
Zone Classificati nom/
it
Sprinklered
❑Yes ❑No ❑ Req'd.
Size of Paye!
75)//
Type Const.
Occupancy
West
Valuation
Building Area in Sg1Ft.
27.5
ADDRESS
ZI P
DWL Area I Basement Area
Garage Area r
7 .5-
Storage
CHANGE OF USE FROM
6.
TO
Split Entry
Split Level
Rancher _
TYPE
7, OF
WORK
NEW
BLD.
❑ ALT.
O PLMB.
O AD'N.
❑ MECH:
❑ RPL.
O M.H.
❑ MVE.
O POOL
❑ OTHER
No. Baths
No. Floors
No. Rooms
Rec. Room
CERTIFICATE
of EXEMPTION
Req'd.
DESCRIBEOR�
8.
VALUATION
Source
of
Utilities
GAS
t 11_4
ELECT R I
WATER
SEWER
9.� oD `jU
J
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
type of work will be complied with whether specified herein or not. The granting of a permit des not presume
to give authority to violate or cancel the provisions of any other state or loyal law regu ating costrction or the
performance of construction.
DATE !Y'"*" >: - 7 SIGNATURE s.
DEPT.
Env. Health
Pla
SPECIAL APPROVALS
REQ'D. RECD.
Fire Marshall
Co. Engineer
Utilities
Zone Clearance
SEPA Checklist
SPECIAL CON ITIOIS:
DATE
d 7(5 L . • � ..{�.' �%
.,114 a}
-
2
OFFICI r
APPR• • i FOR ISSUANCE
Rec'd.
Not Req'd.
FEES COLLECTED
Single $
Building
Plumbing
Mech,
Plan Check
SEPA
Mobile Home
Other (Specify)
•
TOTAL $
114011 C:3)
PERMIT NUMBER
DATE
02* *1500
* 1500
* 1 5.006
A *0.00
277.0s
08-24-79
s 6479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
08-24-79
277.12 *15.002H
I•—
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