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1979, 09-10 Permit: 79-3702 Pole BuildingPLAN 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 LOT BLOCK 57,v-rn.4,1 pi A) g.530.2 SUBDIVISION LEGAL DESCRIPTION — SEE ATTACHED O ER 3 pt gig"? tA CONTRACTOR 4. ryi✓� 141;44 AD ) ESS � f; Sni,1`�i DESIGNER 5' ADDRESS PHONE ZIP PH NE - 9175— ZIP CHANGE OF USE FROM 6. TYPE 7. OF WORK U(NEW KBLD. 92.07 PHONE PARCEL NUMBER/S / 2-53 0 - gOog N &i'ri• o r NE 4 BE 859' E, S � Gag Tit N. loo' i14 IA) 1/5' -rH /Op-ro P.a,_B, Required Set Backs in Feet North South 5 East C(West Size of Parcel Zone Classification 1)i) X/049 Type Const. k) --N Occupancy M-1 ZIP TO ❑ ALT. ❑ AD N. 0 RPL. O PLMB. ❑ MECH: 0 M.H. ❑ MVE. ❑ POOL 0 OTHER V Sprinklered ❑Yes ❑No ❑ Req'd. Valuation Building Area in Sq. Ft. oo f) SOO 1 )WL Area /,,2p 6 Basement Area Garage Area I Storage I20 Split Entry No. Baths Split Level No. Floors No. Rooms CERTIFICATE of EXEMPTION Rancher Rec. Room Req'd. Rec'd. Not Req'd. ESCRIBE WRK n 8. poi, we7JI Ie R,,(, �"d'( VALUATION Source of Utilities GAS ELECTRIC r -- WATER SEWER "".5(i rr'iMc-, 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 con truction or the perform ce offcons ruction. DATE -I SIGNATURE DEPT. SPECIAL APPROVALS REQ'D. REC'D. Env. Health A.0 -7q Planning Fire Marshall Co. Engineer Utilities Zone Clearance SEPA Checklist SPECIAL CONDITIONS: k e p/4L P4,) U Af SDA DATE 1-40:79 OFFICIAL 07� APPROVED FOR ISSUANCE FEES COLLECTED Single Building Plumbing Mech. Plan Check SEPA Mobile Home Other (Specify) TOTAL $ c;PO ASC PERMIT NUMBER DATE D —7q 02* *8000 *8000 *80006 E *0.00 3701 s 09-10-79 g 6479. WHEN MACHINE VALIDATED IN THIS SPACE, THIS B COMES A PRMEIT. 0-10-79 370,25 *'80.00°-12 c g-J /WMcg