1979, 09-12 Permit 79-3865 Residence, Garagefr
PLAN NUMBER
h
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
1.
2.
3
JOB ADDRESS F
LOT
7
OWNER
BLOCK
A
Prpe_fry /0S/0
SUBDIVISIO
er)o.c..ez. 44A/A
ADDRESS
5. 7/ I44/E'S
CONTRACTOR
4. %5A
ADDRESS
DESIGNER
5' ADDRESS
CHANGE OF USE FROM
6.
TYPE
7. OF
WORK
NEW
`4. BLD.
❑ ALT.
❑ PLMB.
TO
❑ AD'N.
❑ MECH:
❑ RPL.
❑ M.H.
P ONE
28-i59Z
PHONE
ZIP
PHONE
ZIP
❑ MVE.
O POOL
0 OTHER
Size of Parcel
/,QLG. ps E r PL
Type Const. Occupancy
Fail OW
Valuation
70
LEGAL DESCRIPTION — SEE ATTACHED
PARCEL NUMBER/S
— a oa 7
Required Set Backs in Feet if
North JD. 'South /Pr► LEast 2 7
Zone Classification
(West �[ jS•
S rinklered
Dyes No 0 Req'd.
Building Area in Sq. Ft.
iWL`Area �em�I,a Garage Area
2Q Oe*
Split Entry
Y' 5
Vais
C RTIFICATE
of EXEMPTION
Split Level
Noms
Req'd.
Storage
Rancher
Rec'tl
Rec. Room
_ Not Req'd.
8.DESCRIBE WORK
44/014 ei`.A4!rA de QA/ ( asiDedic 64,61
VALUATION ELECTRIC TER SEWER
ilt9. OO Utilities /.s7/s9► CI�?-' JI l�tJul P P ND-S2 T'
� P
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
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
DEPT_
SPECIAL APPROVALS
REQ'D. REC'D.
SIGNATURE
Env. Health
Planning
Fire Marshall
Co. Engineer
Utilities
Zone Clearance
SEPA Checklist
SPECIAL CONDITIONS: e n itk AZilre
>N I`1 r--t1 0
0,,(4Le5Tr
/ry
DATE OFFICIAL - - f![.
FEES COLLECTED
Single $ -
OJ
Building '
Plumbing
Mech.
Plan Check
SEPA -
Mobile Horne
Other (Specify)
TOTAL $
PERMIT NUM 5ER
79 38'c�6
DATE ri —1
02* *82C0
* 82.00
* 82.006
E *0,00 0
38642
09-12-79
2 6479,
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
n 9,— 1 1I— 7 0
386.5z *8200a_H
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No. Floors
n nnnroirn rr n tcci1 A ref-i�c
___411LLLIC7: -
Ja!NTUSE DRIVEWAY WITH LOT 8
LbT 7 BLOCK >:. MYRON ell AIMPARGELJYO. 04191.2--2007
PLO . FL. AN
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