1979, 09-05 Permit: 79-3396 Garage PLAN NUMBER APPLICATION/PERMIT PERMIT NUMBER
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
r7q- 3390
NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509) 456-3675 DATE SEPT IcI79
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 4 COPIES 0 2 * *3 Q 0 0
JOB ADDRESS 1 LEGAL DESCRIPTION — SEE ATTACHED * 3 0 0 0
LOT BLOCK SUBDIVISION, PARCEL NUMBER/S /9 ...2-4:5.9/, *3O..0 0 6
2. /1 '` �Litr--)-12,- /.;-1//1/1/49. � ".� t ,c " i3.L.,�., B *0 0 0 3
OWNER PHONE
3. /,4-L�.Ud.�- 4, i,I,�.ri. I - ' PPx- --- U,4J 4- --)1 rs�T,Es 3 3 9.5
Required Set Backs in Feet
C.-% , / 7 -j51 _7,44 (-6.,1-C__. Q�I4/ ,,- North 67 i !south-1,...5" East L)' (West/Q 09-05-79
CONTRACTOR PHONE Size of Parcel Zo a Classificatio
�� u 6479,
ARESS ZIP Type Const. Occupancy Sprinklered
,A4411./L,141.1_ Oyes ❑No ❑ Req'd.
DESIGNER PHONE Valuation Building Area in 59. Ft.
5. .T� " —
ADDRESS ZIP DWL Area I Basement Area( Garage Area Storage
-
CHANGE OF USE FROM TO Split Entry Split Level,....,...
Rancher_
6. -
TYPE No.Baths No. Floors No. Rooms Rec. Room
,NEW ❑ ALT. ❑ AD'N. ❑ RPL. ❑ MVE. --- / /
7. OF El OTHER CERTIFICATE Req'd. Recd. Not Req'd.
WORK .BLD. ❑ PLMB. El MECH. CI M.H. ❑ POOL
of EXEMPTION
DES I E WORK
�j jy
FEES COLLECTED
$ / A-1
VALUATION Source
GAS ELECTRIC WATER SEWER
of
9. 3,57 e.) Utilities Single $
/ —
I hereby certify that I have read and examined this application and have read the "NOTICE" provisions included
if
on reverse side, and know the same to be true and correct. All provisions of laws and ordinances governing this Building 30/L
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 I cal law regulating construction or the
performance of construction. Plumbing
DATE ''`'----Z--/- -- 7 / SIGNATURE i eli-'v-,— 0/Ariwi-.✓ Mech.
r-
SPECIAL APPROVALS SPECIAL COND IONS:
DEPT. REQ'D. REC'D. Plan Check
Env. Health
D —, 7e _ /-ry
i 1"31,,-,/—C SEPA
l-
F-
Planning v
u..i
d
Mobile Home rn
Fire Marshall
Co. Engineer Other (Specify)
Utilities OU
TOTAL O
Zone Clearance
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist o 4J THIS BECOMES A PERMIT.
DATE or-6=79 OFFICIAL c J�� 0 9 — 0 5 7 9 ' 5 9,6 I * 30.0 0 t' 1=
APPROVED FOR ISSUANCE —
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