1979, 10-09 Permit: 79-5525 GaragePLAN 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
1. , ///
LOT
2.
BLOCK
7
LEGAL DESCRIPTION - SEE ATTACHED
su sl
4ds—.
OWNER �r
3 ,� 1/144-40-1 �C
RE
3/// .7 - GOA -e.. 0.0*4-7,4./ief
CONTRACTOR
4' ApDRESS
'LiJy�Q/r Q <
DESIGNER
5. ADDRESS
PHONE
ZIP
Clq6
PHONE
PARCEL NUMBER/S
Ort.,
f U C'[,(� /. T ADD
Required t Backs in Feet
North 'South East 'West
Size of Parcel 1 Zone Classification
ZI P
Type Const.
Occupancy
Sprinklered
❑Yes ❑No ❑ Req'd.
PHONE
Valuation 1 Building Area in Sq. Ft.
ZIP
DWL Area I Basement Area Garage Area
Storage
CHANGE OF USE FROM
6.
TYPE
7, OF
WORK
TO
Split Entry
❑ NEW
❑ BLD.
❑ ALT.
❑ PLMB.
❑ AD'N.
❑ MECH:
O RPL.
❑ M.H.
❑ MVE.
O POOL
0 OTHER
No. Baths
No.
Split Level
Floors No. Rooms
Rancher
Rec. Room
CERTIFICATE
of EXEMPTION
Req'd.
Rec'd.
Not Req'd.
D C,RIBE WORK
8. Q __ 60/,/ --`-_di], } . - /1),p_.4.
...4TH.,. -
VALUATION 1 Source GAS ELECTRIC
of
9. Utilities
WAT
ER SEWER
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 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.
DATE JD(Y— /y
SIGNATURE
,7:1
DEPT.
SPECIAL APPROVALS
REQ'D. REC'D.
Env. Health
Planning
Fire Marshall
Co. Engineer
Utilities
Zone Clearance
SEPA Checklist
SPECIAL CONDITIONS:
. c oto-' A64:teLsc,e
DATE/ "97`q OFFICIAL deie/Z/` "L4/L�
APPROVED FOR ISSUANCE
FEES COLLECTED
Single $
Building
Plumbing
Mech.
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL $
PERMIT NUMBER
7 9�"-
DATE //)-45;'J,
02* *1350
* 1350
* 135.06
E *000
5524B
10-09-79
6479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
10-o 9.7,9
5(5.2.52 1;13.5,0217-1