1979, 08-03 Permit 79-1550 GaragePLAN NUI
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. '4 .s 7r400//c / 7 C A 1 L S ,42
LOT BLOCK SUBDIVISION
. /2_ 2 fAiAGAES' 4/1466,;cb'
OWNER
3 7ox R y fs Aged A C /4/EX
ADDRESS ZIP
£As f ///6/7 C,74.),C/s ,lg. Se AN45 Gvas11, 99c2
CONTRACTOR PHONE
4. 7a c CO eV/I, 7Py s/.e. I .14 s. 52 .= = 9V /6
ADDRESS ZIP
A/ /i a O CA/vc/l/4 WH,v 6,T01(. /vC WAs//
DESIGNER
5. SCR rvi L
ADDRESS
CHANGE OF USE FROM
6.
TO
PHONE
9a8-79y3
PHONE
ZIP
LEGAL DESCRIPTION - SEE ATTACHED
PARCEL NUMBER/S
Required S t Backs in Feet
1 11�
North 'South g`) East -6-7 'West 2
Size of Parcel Zone Classification
Type Const. Occupancy Sprinklered
Des ❑No ❑ Req'd.
Valuation Building Area in Sq. Ft.
DWL Area
'5;1v
Basement Area Garage Area
Storage
Split Entry
Split Level
Rancher
TYPE
7, OF
WORK
el:JEW ❑ ALT. 0 AD N. ❑ RPL. ❑ MVE.
toJ BLD. ❑ PLMB. ❑ MECH: ❑ M.H. ❑ POOL
❑ OTHER
No. Baths
No. Floors
No. Rooms
Rec. Room
CERTIFICATE
of EXEMPTION
Req'd.
DESCRIBE WORK
8 CC 7`,eycf /G X .10 G /194'
JALUATION Source GAS
g` 'A 4'5c 6--2
Utilities
ELECT�2IC
WATER
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 rggulating construction or the
performance of construction.
DATE 7 - 7 cSIGNATURE `9A-1-
c2.
DEPT.
SPECIAL APPROVALS
REQ'D. REC'D.
Env. Health
Planning
�f./, C 1, ,i Y// 7
Fire Marshall
Co. Engineer
Utilities
Zone Clearance
SEPA Checklist
SPECIAL CONDITIONS:
Rec'd.
Not Req'd.
FEES COLLECTED
Single $ r F�
Building/ ��
Plumbing
Mech.
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL $ Z0
QU
DATE
PER,IVIIT NUMBER
02*
E
*2000'.w
154.92
08-03-79
2 6479
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
DAT OFFICI
APPR OR ISSUANCE
08-0.3-79 155,0z
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