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1979, 08-29 Permit: M79-3032PLAN 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 1.S. LOT BLOCK 2 OWNER �} 3. 1VPci �C QinSar1 ADDRESS ,EiLs .404141626.4,3r_ N.9isPn CONTRACTOR 4 AVVI Qac t44+tri Lie ADDRESS SUBDIVISION P ONE a�-� LEGAL DESCRIPTION — SEE ATTACHED PARCEL NUMBER/S ZI P PHONE Required Set Backs in Feet North (South East 'Wes "isz 10a DESIGNER rJ. ADDRESS CHANGE OF USE FROM 6. TO ZIP 99a/ PHONE ZIP Size of Parcel Type Const. Zone Classification Occupancy Valuation DWL Area Split Entry Basement Area Sprinklered Oyes ❑No ❑ Req'd. Building Area in Sq. Ft. Garage Area Split Level Storage Rancher TYPE ,r NEW 7. OF WORK ❑ BLD. ❑ ALT.���--❑yyyAD'N. ❑ RPL. ❑ MVE. ❑ PLMB. ya MECH: ❑ M.H. ❑ POOL ❑ OTHER No. Baths No. Floors No. Rooms Rec. Room CERTIFICATE of EXEMPTION Req'd. Rec'd. Not Req'd. ESCRIBE WORK _/� wQrk E/mac_ . VALUATION 9. Source of Utilities /'c-vrr GAS ELECTRIC r7 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 regulating co struction or the performance of construction. DATE 0-c2-7 -7? SIGNATURE DEPT. SPECIAL APPROVALS REQ'D_ REC'D. Env. Health Planning Fire Marshall Co. Engineer Utilities Zone Clearance SEPA Checklist SPECIAL CONDITIONS: DATE 8/L.77 OFFICI APPR SUE, IR ISSUANCE FEES COLLECTED Single $ Building Plumbing 1" 3 od Me h. Plan Check SEPA Mobile Home Other (Specify) TOTAL $ l3. 00 PERMIT NUMBER -79 -- 30 3..2_ DATE Q " 07-7-- 7 04* *1300 * 13.00 N * 13008 A *Q00 8 30318 08-29-79 2 6479. WHEN MACHINE VALIDATED IN THIS SPACE, THIS BECOMES A PERMIT. 08-29-79 303.25 *13.002 _