1979, 07-30 Permit 79-1235 Storage BldgPLAN 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
1.
LOT
2.
BLOCK
OWNER
3 ADDRESS
4.
6.
wrsuiviaiury ,
PHONE
LEGAL DESCRIPTION — SEE ATTACHED
PARCEL NUMBER'S
, /r}, r ,r; ti; :...t/.. # /,, ) .
s. /.-' / % , i `-Z_(jir1
CONTRACTOR
('
ADDRESS
1.4:.
DESIGNER
ADDRESS
CHANGE OF USE FROM
TYPE
7, OF
WORK
9.
ZIP
PHONE
ZIP
PHONE
ZIP
❑ NEW ❑ ALT. 1-' AD'N. ❑ RPL. 0 MVE.
,Iai BLD. 0 PLMB. 0 MECH: 0 M.H. 0 POOL
DESCRIBE WORK
VALUATION
0 OTHER
Required Set Backs in Feet
North 'South (East (West
Size of Parcel
Type Const.
Valuation
Zone Classification
Occupancy / Sprinklered
... / ❑Yes ❑No ❑ Req'd.
Building Area in Sq. Ft.
DWL Area I Basement Area Garage Area
Spilt Entry Split Level
No. Baths
No. Floors
CERTIFICATE
of EXEMPTION
:.1 1 (4 ,L .lz - r?t° , -/' , • „t c e7) — L. ( ,a ,( a et . !_n 1CU'c c Gt el P
Source GAS ELECTRIC WATER SEWER
of
Utilities
No. Rooms
Req'd.
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 authori;,' to violate or cancel the provisions of any other state or local law regulating construction or the
performance of construction. (-
DATE 7 ',2
SIGNATURE ) r ►��'
DEPT.
SPECIAL APPROVALS
REQ'D. REC'D.
Env. Health
Planning
// 1
Fire Marshall
Co. Engineer
Utilities
Zone Clearance
SEPA Checklist
SPECIAL CONDITIONS:
DAT
API JVED FOR ISSUANCE
/ '
Storage
Rancher
Rec. Room
Rec'd.
Not Req'd.
/\
FEES COLLECTED
Single $
/7
Building / e '
Plumbing
Mech.
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL $
PERMIT NUMBER
DATE
02* *10,00
* 1 0.0 0 tr~i
*1Q006
E *0,00
12342
07-30-79
6479,
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
07 30-79
123,5')
* 10, 0.0 JO
eRiADWAy A vE
EX•517Afet
RIEDE:vrif
•
•