1979, 11-15 Permit: 79-7880 Garage8. `i _LZ , LCL" ---
'VAL ATION fV Source GAS ELECTRIC WATER SEWER
of
Q, n 415 Utilities
Single $
0
I--
Uj
'- W
iI
1 hereby certify that I have read and examined this application and have read the "NOTICE" provisions included j1 D
on reverse side, and know the same to be true and correct. All provisions of laws and ordinances governing this Building
PLAN NUMBER ~�-
APPLICATION/ PERMIT
P IT NUMBER
performance of construction. Plumbing
5- &-i!4
DATE Z1" 7!� SIGNATURE? Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS:
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
SEPA
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675 DATE
Planning
APPLICANT: COMPLETE
NUMBERED SPACES — PRESS HARD TO MAKE 4 COPIES
Fire Marshall i.
Co. Engineer Other (Specify)
Utilities
G2* *3&00
TOTAL $s;CL
JOB ADDRESS
Zone Clearance
LEGAL DESCRIPTION — SEE ATTACHED
*3a00 n
WHEN MACHINE VALIDATED
SEPA Checklist THIS BECOMES A PERMIT.
_._. _ 15 — 7 %'
7 8 8, 0 c5 * 3 8. 0 0 °
LOT BLOCK
NUMBER/S - p`.� d-.- eVZ 1
*3R001
2.
ISUBDIVISIONPARCEL
I
,4
` ' f
/D/ /-,0 %�-id /�/i Jr �+A4 ✓)=
OWNER
PHONE
E * 0. 0 0 U
3.
Ita
787-921
8 7, 9 2
A SS RE
ZIP Required Set Backs in Feet
_
// - � r
North .0 ! South 1-5 East to / West
5-79
CONTRAC OR
PHONE Size of Parcel Zone Classificatio
6479.
4'
IDDR S ,
ZIP Type Const. Occupancy Sprinklered
cj
yti
/
-- .-. G`�E�' Z)4, ❑Yes ❑No ❑Req'd.
DESIGNER
PHONE Valuation �/ e) d Building Area in Sq. Ft.
-3,34/71
3 7 /71 IJ
5'
ADDRESS
ZIP D Area Basement Area Garage Area Storage
CHANGE OF USE FROM
TO
Split Entry live) Rancher
6.
No. Baths No. Floors No. Rooms ec. Room
TYPE NEW ❑ ALT.
❑ AD'N.
❑ RPL. ❑ MVE. — j —
7,
OF
❑ BLD. ❑ PLMB.
❑ MECH:
❑ OTHER
❑ M.H. ❑ POOL CERTIFICATE Req'd. Recd. Not Req'd.
WORK
of EXEMPTION
DESCRIBE WORFh A 6
FFF.S rnl l FCTF/7
8. `i _LZ , LCL" ---
'VAL ATION fV Source GAS ELECTRIC WATER SEWER
of
Q, n 415 Utilities
Single $
0
I--
Uj
'- W
1 hereby certify that I have read and examined this application and have read the "NOTICE" provisions included j1 D
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. Plumbing
5- &-i!4
DATE Z1" 7!� SIGNATURE? Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS:
DEPT. REQ'D. RECD. L!/� I -/l'-, Plan Check
Env. Health
SEPA
Planning
+ Mobile Home
Fire Marshall i.
Co. Engineer Other (Specify)
Utilities
TOTAL $s;CL
Zone Clearance
IN THIS SPACE,
WHEN MACHINE VALIDATED
SEPA Checklist THIS BECOMES A PERMIT.
_._. _ 15 — 7 %'
7 8 8, 0 c5 * 3 8. 0 0 °
DATE APPROVED FOR ISSUANCE