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1979, 09-10 Permit: 79-3691 Residence_I NLSNIBER 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 1 BADDR 4.50 /� N r rl�� OT BLOCK SUBIVISIO 2.2 f LA ut//( LEGAL DESCRIPTION - SEE ATTACHED 3 E7d 44 00- fle rS O Iv 7_ iv c, C NTRA TOR rkhasi Cc 4' DDRESS laboy 6iithr,e./A DESIGNER PHONE f)' - 5 75b PARCEL NUMBER'S 020 .,-.0 — 9 ^ q Required Sett/Backs in Feet / / North /3 !South c23 East /5- !West N hog Size f Parc PHONE Type Cgnst. I Occupancy -3 3/one Clas ific on /& 'k. -tet . e__S . �S(pr�inklered LivesVwJo ❑ Req'd. 5' ADDRESS ZIP Valu tion DWL Areal Building;a in Sq. Ft. Bast, rea Gara� FV'ea Storage /4°° 6. CHANGE OF USE FROM TO Split Entry Split Level Rancher TYPE 7, OF WORK NEW BLD. D ALT. O PLMB. ❑ AD'N. ❑ MECH: ❑ RPL. ❑ M.H. ❑ MVE. ❑ POOL 0 OTHER No. Baths No. Floors No. Rooms Rec. Room CERTIFICATE of EXEMPTION Req'd. Rec'd. Not Req'd. 8. 9. SCRIBE ORK elk) s/ VALUATION M. hes. Source of Utilities I hereby certify that 1 have read and on reverse side, and know the same type of work will be complied with to give authority to violate or cancel performa ce of constr ction. DATE GAS ELECTRI WATF�R ©A)S. SEWE S examined this application and have read the "NOTICE" provisions included to be true and correct. All provisions of laws and ordinances governing this whether specified herein or not. The granting of a permit does not presume the provisions of any other state or local law regulating construction or the SPECIAL APPROVALS DEPT. / REQ'D. REC'D. SIGNATURE Env. Health ` P ��II IF 91161/V 11V Planning Fire Marshall Co. Engineer Utilities Zone Clearance SEPA Checklist SPECIAL CONDITIONS: '—,? 7-7? 61 DATE q/� OFFICIAL f APPROVED FOR ISSUANCE FEES COLLECTED Single 00 9% Building L `�' Plumbing Mech. Plan Check SEPA Mobile Home Other (Specify) TOTAL $ DATE PERMIT NUMBER 02* *9Q00 *9Q00 *9Q006 A *0,00 S 369.02 09-10-79 A 6L1.79. WHEN MACHINE VALIDATED IN THIS SPACE, THIS BECOMES A PERMIT. 09-10 79 369,12 *90,0O2',F-1, Ult W 0 134.'1 Z -3c7'->" 20 Ts 1_0 L. 31,12 3Ow �W FF D°R.i Vim. fWA-r Sccurc[ z...eCmiCA-- SERVICE (Ulm-RGRDckvD) .D.t;;;NA'. CCMPANy GENET.%. CGNIRACTING E. 126;,3 GUT RIE OR, QSIDENCE Fc FELDM N - PERSON 1 NC. Lor _ pf. - PLAN SULE: 1"=Za - — DATE : g, jz7/79