1979, 08-24 Permit 79-2775 GarageMPS
PLAN 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 J%
BLOCK SUBDIVISION
2..3
OWNER
1 2ittA g t ti , 4-/- 3, . Cfdi
3. £L.,,e4 j--
4.
ADDRES
C N� ACTOR
ADDRESS
DESIGNER
5' ADDRESS
CHANGE OF USE FROM
6.
TYPE-
7, OF
WORK
X NEW
❑ BLD.
❑ ALT.
❑ PLMB.
PHONE
ZIP
Criqc2.-/4,
PHONE
ZIP
PHONE
ZIP
TO
X AD'N.
❑ MECH:
❑ RPL.
❑ M.H.
❑ MVE.
❑ POOL
❑ OTHER
North,', f' 'South 7
Size of Parcel
Type Const.
Valuation
Occupancy
DWL Area I Basement Area
Split Entry
LEGAL DESCRIPTION - SEE ATTACHED
PARCEL NUMBER/S
L0773 ek-iC"c
Required et Backs in eet
East /� 'West. W
Zoe Classification
�.C144z2
Sprinklered
❑Yes No ❑ Req'd.
(Building Area in Sq. Ft.
Garage Area
Storage
Split Level
No. Baths
No. Floors
No. Rooms
CERTIFICATE
of EXEMPTION
Req'd.
Rancher
Rec. Room
Rec'd.
DESCRIBE WORI,
C� ,.(/fJ
8 % (source�
VALUATION GASof {J�- fYELE TR C J%7`1f WATER
9.
Utilities
SEWER
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 constriction or the
performance of construction.
DATE 3--' {/ -- 7 / SIGNATURE
DEPT.
SPECIAL APPROVALS
REC'D. REC'D.
Env. Health
Planning
Yh-c-9/77
Fire Marshall
Co. Enginee
Utilities
Zone Clearance
SEPA Checklist
SPECIAL CONDITIONS:
a nd a�u --
DATE FFICIAL.(it.J-4.1. .4;
APPRf'(VF1) F()R IgclIAN('.F
Not Req'd.
K
FEES COLLECTED
Single
Building eL 7----
Plumbing
Mech.
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL
$ 7r
PERMIT NUMBER
7�- 2:77S"
DATE MA Z7516171
02* *27,00
*27.00 rn
*27.006
B *Q00
277.4s
08-24-79
2 6479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
B8-24-79 277.5 *27,OP
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