1979, 07-13 Permit: 79-438 Carport PLAN NLAVIBER APPLICATION/PERMIT PERMIT ,UMBER I
SPOKANE COUNTY - BUILDING CODES DEPARTMENT ''"]/
Z e
NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509)456-3675 DATE
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 4 COPIES
JOB ADDRESS 0 2* * 1 5 0 0
1
// 6 .T. � � LEGAL DESCRIPTION — SEE ATTACHED
OTS�BL CK SUBDIVISION PARCEL NUMBER/S �j * 1 5 O 0 N
92-.:341-31 •
c: .id_l . ' ade -pc.- +� * 1 500Li
OWNE PHONE /„D'TS =Z./--SO-�S/ i3 M--._ � i - E * O.O O 0
ADDRESS / ZIP Required Set Backs in Feet
e, to -7 _/-.16t., /J-f.. qg.,Z Z, North V71 !South J / East L/ 'West 7d / 4 3.7 i
CONTRACTOR PHONE Size of Parcel Zone-ClllassificatioAn �I,���11-��0, 7O 7— 1 3—7 9
ADDRESS ZIP Type Const. Occupancy Sprinklered./I..0 - 6 4 7 9.
i r� ` �r4 ❑Yes ❑No ❑ Req'd.
DESIGNER PHONE Valuation Building Area in Sq. Ft.
5. -2 /
ADDRESS ZIP DWL Area Basement Area Garage Area Storage —
CHANGE OF USE FROM TO Split Entry Split Level Rancher
6. ,
No.Baths No. Floors No. Rooms Rec. Room
TYPE ❑ NEW ❑ ALT. ❑ AD'N. 0 RPL. ❑ MVE.
7, OF ❑ OTHER CERTIFICATE Req'd. Recd. Not Req'd.
WORK 0 BLD. 0 PLMB. 0 MECH: El M.H. ❑ POOL
' of EXEMPTION k
DESCRIBE WORK
8. C-CLaL`��QcQ e� [) �- FEES COLLECTED
VALUATION hSource /IGAS ELECTRIC WATER SEWER
9. �QQD Utilities — -----
Single $
I hereby certify that I have read and examined this application and have read the "NOTICE" provisions included }� G,J —
on reverse side, and know the same to be true and correct. All provisions of laws and ordinances governing this Building /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
performance of construction. �(� (11;4.."- Plumbing
DATE 7- h- 7% SIGNATURE 'C�
Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS:
DEPT. REQ'D. REC'D. Plan Check
Env.Health / r.' -et-'1-, /v/j7/ SEPA
Planning JLU
0-
Mobile
Mobile Home `n
Fire Marshall
z
Co. Engineer Other(Specify)
Utilities
TOTAL $
Zone Clearance
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist /7 7 q p�('',/////���_- / THIS BECOMES A PERMIT.
DATE /-13-7 OFFICIAL4'JP'�i1L/ A� 0 7 - 1 3 `7 9 4 , 8 z * 1 5. 0 0 1.!= -
APPROVED FOR ISSUANCE
N.
j
Ex's r rn/a
I eOA/CE
76
SIXTH
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