1979, 10-03 Permit: 79-5208 Garage PLAN NUM R APPLICATION/PERMIT 0 PERMIT NUMBER
64 COUNTY — BUILDING CODES DEPARTMENT �7 —S2`o?
SPOKANE
NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509) 456-3675 DATEIoT • 47
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 4 COPIES Z7� 1
02 * * 80.00
JOB ADDRESS
1. E
E . ii}-12,6_ lz TN AVE LEGAL DESCRIPTION1 — SEE ATTACHED * 8 0.0 0
LOT BLOCK SUBDIVISION PARCEL NUMBER/5235 T-+ - /Zo3
2. �. of W? oops.-cck• ./03,,./03,, VcRA * 8 0 0 0 y
B
p F. ,
PHONE * 0; :
OWNER Crte
3. -1-5--)2- - F. MG 0 )EKt4 cl2tt--13 55 5 2 0 7
q'2
ADDRESS i ZIP Required Set Backs in Feet ]
E. I4- G 12.---r 1-1 UE .
AVER E I qQ 3 / North 2 e
1 1 'South Yq East /5 ' Iwest /0' 1 0-0 3-7 9
CONTRACTOR PHONE Size of Parcel Zone Classification
4. _50 40-• 87' x 6 tro 1l'ef!UK AGRlcW-1 ix.i2A2, 6 li,7 9.
ADDRESS ZIP Type Const. Occupancy Sprinklered
-N M-1 ❑Yes ❑No ❑ Req'd.
DESIGNER PHONE Valuation Building Area in Sq. Ft.
'le 10i 3!0 B x 1152
5. ADDRESS ZIP DWL Area I Basement Area f Garage Area Storage —
1 1.s.-..
CHANGE OF USE FROM TO Split Entry Split Level Rancher
6.
��/ No. Baths No. Floors No. Rooms Rec. Room
TYPE L7 NEW ❑ ALT. ❑ AD'N. 0 RPL. 0 MVE. ..------
7. OF ❑ OTHER
WORK
0--.ALD. 0 PLMB. 0 MECH. 0 M.H. 0 POOL CERTIFICATE
Req'd. Recd. Not�Req`'d.
of EXEMPTION f-�
DESCRIBE WORK
FEES COLLECTED
8. 6q ,64r— (.TA-cA —fK1VkTe..
VALUA ION Source GAS ELECTRIC WATER SEWER
of
9. '41/0/
36:),:3513-9( Utilities &NIS- /4 Single $
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 Building '-(
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. �g�' Plumbing
DATE 51-2 2/ 7S /SIGNATURE Y) -.2.-•" CJ � 4. Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS:
DEPT. REQ'D. REC'D. NO co IMM E.IZG17 L USE- Ani _ 1r,/ Plan Check
Env. Health t ZoNe, bt A4 -�'� 1'
�1� (_:/,(2 /4-e)----' I rr SEPA
lCis-rri16. 6•A DA-MA-CIE- ey fL - _
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Planning To 1:3E- .Ko UEP (.0 I'tEhl 1-[EI.V 640-1 'zE a.
Fire Marshall Ips�}c MfLP.E21 � pEnNoLrnoJ P> MI? Mobile Home
Co. Engineer 19)-ANS
,..7-cPCP
/ Other (Specify)
Utilities Hm-p1N IrciatM lieno cALJLE 9 *I oo
I3Y OWNS TOTAL $ V O
Zone Clearance
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist pm-Ns pm-Ns0 K. THIS BECOMES A PERMIT.
_
^� sQ� 1 0 '- 0 '3'- 7'9 2 O. 8 * 8 0, 0 0'2
DATE in "2."Cy OFFICIA . �•d ,
APPROVED FOR ISSUANCE
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