1979, 10-02 Permit 79-5159 Garage(PLAN NUMBER
3/3
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
I 6609 VALA,I, 'k\IA' 1'
T BLOCK SUBDIVISION IIJ y/ Nvc/i
3. ADDRES 1 V PAY I ✓ �9 t�p 7� .' (l2
�. k� 609 V
CONTRACT RR
4.
6.
ADDRESS
DESIGNER
PHONE
ZIP
PHONE
ADDRESS ZIP
CHANGE OF USE FROM
TYPE
7. OF
WORK
NEW
BLD.
❑ ALT.
❑ PLMB.
TO
❑ AD N.
❑ MECH:
❑ RPL.
❑ M.H.
❑ MVE,
❑ POOL
❑ OTHER
LEGAL DESCRIPTION — SEE ATTACHED
PARCEL NUMBER'S 17
Required SetI Backs in Feet
North I 'South
Size of Parcel
I lo'X I o.2-
2-4- o200
Type Const. Occupancy
VA" //11 .�
Valua ion
DWL A ea
Split Entry
No. Baths
Basement Area
I [East I 'West
Zonp Classificatipn
IG
Sprilered
Dyes Vo ❑ Req'd.
Building Area in Sq. Ft.
00
Garage Area
Split Level
No. Flogrs
CERTIFICATE
of EXEMPTION
Storag
33h
Ranch
No, Rooms Rec. Room
Req'd.
Rec'd.
Not Req'd.
9.
DESCRIBE WORK .2 \
VAL A ION
`^f/C✓Q\
R�
Source
GAS ELTR WATER
of
Utilities
7 �—
SEWER
6
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 5/79 SIGNATURE
DEPT.
SPECIAL APPROVALS
REC'D. REC'D.
Env. Health
/
Planning
Fire Marshall
Co. Engineer
Utilities
Zone Clearance
SEPA Checklist
SPE_C.IEjL CO�VDI_T�pf��
rs'-.,rtiqit\iw,ta., Roof- -f-Rtie
DATE
[_FEES COLLECTED
Single $
Building V� , oO
Plumbing
Mech.
Plan Check
SEPA
Mobile Home
Other (Specify)
D
TOTAL $
PERMIT NUMBER
DATE / v /67
02* *6200
*6200 16
*6200M
E *000 0
5158B
10-02=79
2 6479.
WHEN MACHINE VALIDATED IN THIS SPACE,
[HIS BECOMES A PERMIT.
10 2'-7.9 515,9S' *62,OO;4
APPROVED FOR ISSUANC
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