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1979, 08-06 Permit: 79-1583 Residence
PLAN N' IMB 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 DDRESS 714 Lei AV M41.1 LOT BLOCK SUBDIVISI 2. 7 1 pile 6 i40711-10t1 OWNER 3 AIiO E55 C7 4. CONTRACT R ADDR SS LEGAL DESCRIPTION — SEE ATTACHED P}�,O Et f7 t 7 Z /J L7 I ONE PARCEL NUMBER /S 4544 - '7' Cror-<noNc Required Set Backs in Fee North/09—'5 'South Z / East (West .2207 ZIP Size o Pierce! 10 1n © Z ne Classific tion �rzh>. Type Const. Occupancy Sprinklered ❑Yes 0 N ❑ Req'd. DESIGNER PHONE Valuation ADDRESS ZIP DWL Area Basemen Are Building Area in Sq. Ft. 1ro7 Garage Area Storage CHANGE OF USE FROM 6. TO Split Entry Split Level Rancher TYPE 7. OF WORK ❑ NEW ❑ BLD. ❑ ALT. ❑ PLMB. ❑ AD'N. ❑ MECH: ❑ RPL. ❑ M.H. ❑ MVE. ❑ POOL ❑ OTHER No. Baths No. Floors No. Rooms Rec. Room CERTIFICATE of EXEMPTION Req'd. Rec'd. Not Req'd. 9. DESC I AT B EjVWyV/O,R K rim � � y�i (_ ,� VAL ON 1 m 1 ��ouKr6 14 GAS +EjLEC�/ of Utilities 7, 000 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 does not presume ction or the vyATER SEWER 61c type of work will be complied with whether specified herein or not. The to give authority to violate or cancel the provisions of any other state or I performance of cor>5truction. DATE 11 SIGNATURE ranting of a permi cal law rgulating AI . pyliA J�. DEPT. SPECIAL APPROVALS REQ'D. REC'D. Env. Health Planning 7/ Fire Marshall Co. Engineer Utilities Zone Clearance SEPA Checklist SPECIAL CONDITIONS: nAA4 irriVita (V-i rn I2 pL e CK P1 ”J 1,6) DAT OFFICI APPRO FOR ISSUANCE FEES COLLECTED Single $ Building f ( ' Plumbing Mech. Plan Check SEPA Mobile Home Other (Specify) TOTAL $ PERMIT NUMBER DATE 02* *78.00 * 78.00 rn * 78.006 A *0.00 8 1 582 08 -06 -79 2 6479, WHEN MACHINE VALIDATED IN THIS SPACE, THIS BECOMES A PERMIT. 08-06-79 158,3`1 *78,0.0° DATE 1 - 1 1 U - RECORD OF INSPECTIONS Final Inspection REMARKS INSPECTED BY VaJa OV-O9-, d ?S *00C, 0) 05* *JBt