1979, 11-29 Permit 79-8560 Add to Garage. —AN NUMBER
APPLICATION/PERMIT
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675 DATE
APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 4 COPIES
JOB ADDRESS
+IO 1f-si) $P_d PdW 7 hy
LOT I BLOCK (SUBDIVISION
3 I mac -Acre s ADP)'7'1oN
OWNER PHONE
3 S//J LEY cPrf J OL..L
ADDRESS ZIP p Required Set Backs in Feet
E • 10 'Io F3RolhPUJAy 972Q6, North 30I (South 71 East
CONTRACTOR 1 Zone
4.
r~E &U 1 LPF& s'
ADDRESS
.103i /vtl�s/off
DESIGNER
5. ADDRESS
CHANGE OF USE FROM
6.
TO
PHONE Size of Parcel
D' S 78 x ) K. 2/
ZIP
PHONE
ZIP
Type Const. Occupancy
Valuation
TYPE
7. OF
WORK
D NEW ❑ ALT.YAD'N. ❑ RPL. ❑ MVE.
P BLD. ❑ PLMB. ❑ MECH: ❑ M.H. ❑ POOL
❑ OTHER
DWL Area Basement Area
Split Entry
No. Baths
LEGAL DESCRIPTION — SEE ATTACHED
PARCEL NUMBER/S 175 `/- -- a ico3
Classification
AGP c
L
Sprinklered
❑Yes ❑No ❑ Req'd.
Building Area in Sq. Ft.
Garage Area
)60
Split Level
Storage
No. Floors No. Rooms
r
Req'd.
CERTIFICATE
of EXEMPTION
DESCRIBE WORK
8. ADpt-n(1W hrz 1=(72A --rt )(lS-r/ A
VALUATION Source GAS ELECTRIC
9. 91/10%Utf
lollties
WATER
SEWER
ExIST/('! E.
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 l/" /5 2r SIGNATURE
DEPT.
SPECIAL APPROVALS
REQ'D. REC'D.
Env. Health
Planning
Fire Marshall
Co. Engineer
Utilities
Zone Clearance
SEPA Checklist
SPECIAL CONDITIONS:
OtL d Filk. /o -26 71 30 DAY
G RhcE fgg21of)
PLANS oktt IQ�'4
%67,
DATE // OFFICIAL c1 . .if' %RfI.
APPROVED FOR ISSUANCE
Rancher
Rec. Room
Rec'd.
Not Req'd.
L
FEES COLLECTED
Single $
GO
Building 2 3 ✓x,
Plumbing
Mech.
Plan Check
SEPA
Mobile Horne
Other (Specify)
po
TOTAL $ Z )()(
PERMIT NUMBER/
11- ►S- 1
02* *25.00
*23.00 N
*23.006
E *0.00
855.9g
11-29-79
2 6479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
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