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1979, 11-02 Permit: 79-7245 Residence
IPLAN NUM ¢ ER I 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 ADDRE So. f I~ fps LOT BLOCK SUBDIVISI N n 2. )3°' ( - #11;°141 :0 o,l©. lXe is e • ARESS llll C/o/4) L,'1 LEGAL DESCRIPTION — SEE ATTACHED PHONE -7079 PARCEL NUMBER/S ,,765 V7- 02 46.3 .:� Required/)�1 J Set Backs in Feet North / (South/ (East (1 (West ¢) CONTRACTOR 4. ASt"/ p HONE ZIP Size of Parcel l4'p9D Type,C pst. ne Classifion / (ri). 1-19.0r)• Occupancy vSpprinklered ❑Yes q[>Wo ❑ Req'd. DESIGNER PHONE ADDRESS ZI P Valva on Buildin Ary IBi�enVrea SSppli Entryl Split Level CHANGE OF USE FROM 6. TO ea in Su. F Gara e Area o® Storage Rancher TYPE 7. OF WORK 54, NEW BLD. ❑ ALT. ❑ PLMB. ❑ AD'N. ❑ MECH: ❑ RPL. ❑ M.H. ❑ MVE. ❑ POOL ❑ OTHER No„$aths N Floors No. Ft Rec. Room CERTIFICATE f Req'd. of EXEMPTION Rec'd. Not Req'd. ?ESCRIBE W K ✓�,u) , N. VALUATION fig. or Re_ aZt- v' Source of Utilities GAS ELECTRIC I%� A 1 WATER -era 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 construction or the performance of construction. DATE I • SIGNATURE �' ✓!n?�=`�7 DEPT. SPECIAL APPROVALS REQ'D_ REC'D. Env. Health Planning Fire Marshall Co. Engineer Utilities Zone Clearance SEPA Checklist SPECIAL CONDITIONS: -Tra55e s �� lea�r ff w6 >ti©ro/e/YaveI)yet • jDATE � OFFICIAL\l'e-4A-Z66 APPROVED FOR ISSU FEES COLLECTED Single $ Building 402 7/b° Plumbing Mech. Plan Check SEPA Mobile Home Other (Specify) TOTAL $ DATE C ` - PERMIT NUMBER (-77 - �� 1 02* *274.00 *274.00 *274.008 B *O,c0 o 724.42 11-02-79 2 6479. WHEN MACHINE VALIDATED IN THIS SPACE, THIS BECOMES A PERMIT. 110-0 2`—'79 72452 *27400 _ F - w w cra -4 ©p pax? elA£; DCCT ... Tfi05. 4 0:? / 117 Set, .2 b -„2_S_ 441 57-k