1979, 07-20 Permit: 79-839 Garage, Renewal of L3184PLA" 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
A: 7 LEGAL DESCRIPTION - SEE ATTACHED
L 3 BLOCK SUBDIVISION PARCEL NUM/BER/S
3OWNER �� P ONE
3. -33 7
ADDRESS ZIP '7 Required Set Backs in Feet
North South East West
CONTRACTOR PHONE Size of Parcel Zone Classification
4. ADDRESS
ZIP
Type Const.
Occupancy
Sprinklered
I
❑Yes ❑No ❑ Req'd.
DESIGNER
PHONE
Valuation
Building Area in Sq. Ft.
5. 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. ElAD'N. El RPL. E]MVE.
7, OF ❑ OTHER
❑ BLD. ❑ PLMB. [--]MECH: ElM.H. El POOL
CERTIFICATE
Req'd.
Recd.
Not Req'd.
WORK
of EXEMPTION
DESCP,jBE WORK
FEES COLLECTED
8.
VALUATION
Source
G 5
ECTRIC WAT
SEWER
ofT
9,
Utilities
Single $
1 hereby certify that I have read and examined this application and have read the "NOTICE" provisions included 00
on reverse side, and know the same to be true and correct. All provisions of laws and ordinances governing this
Building 5—Kx
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 regulatin construction or the
Plumbing
performance of construction.
— SIGNATURE
DATE
Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS:
DEPT. REQ'D. RECD.
Plan Check
Env. Health
�
SEPA
Planning � "�—
I
Mobile Home
Fire Marshall
Co. Engineer
Other (Specify)
Utilities
'S
TOTAL $
Zone Clearance
WHEN MACHINE VALIDAT
THIS BECOMES A PERMIT.
SEPA Checklist /?f 1
A7-20
0 7 — 2 0 _ 7 9
DATE � OFFICIAL64 7r14,d/ Llf:Z
APPROVED FOR ISSUANCE
PERMIT NUMBER
DATE
02* *5,00
*5.00 t�
838
07-20-79
;? 6479.
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8A * r' °__
z 7� U ! i _i_