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1979, 12-11 Permit: 79-8935 Water TankPLAN 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. /6604 e 2. 3. SUBDIVISION dA„ 4 n j /S CONTRAC R 4' ADDRESS ! tY B ZI P LEGAL DESCRIPTION — SEE ATTACHED PARCEL NUMBER/S Required Set Backs in Feet North 'South East West PHONE � 9//7d Size of Parcel Zone Classification 370 7 zlP Type Const. Occupancy Sprinklered Yes ['No 0 Req'd. DESIGNER 6' ADDRESS PHONE Valuation (Building Area in Sq. Ft. ZIP DWL Area I Basement Area Garage Area Storage CHANGE OF USE FROM 6. TO Split Entry Split Level Rancher TYPE 7. OF WORK ❑ NEW 0 ALT. 0 AD N. 0 RPL. 0 MVE. yyyyyy 1:1 OTHER ��������_��_ ❑ BLD. LMB. 0 MECH: 0 0 POOL No. Baths No. Floors No. Rooms Rec. Room CERTIFICATE of EXEMPTION DESCRIBE WORK 1 tiS VALUATION Source GAS ELECTRIC WATER I SEWER • of 9. Utilities Req'd. Rec'd. Not Req'd. 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 author:1[y to violate or cancel the provisions of any other state or local law regulating construction or the performance•of construction. DATE SIGNATURE DEPT. SPECIAL APPROVALS REQ'D. REC'D. Env. Health Planning Fire Marshall Co. Engineer Utilities - Zone Clearance SEPA Checklist SPECIAL CONDITIONS: DATE ti09 OFFICIAL a�ac.Lc.ayt� APPROVED FOR ISSUANCE FEES COLLECTED Single $ Building Plumbing Mech. - Plan Check SEPA Mobile Home Other (Specify) TOTAL $ DATE PERMITNUMBER -cm- 135 04* *9.00 *9.00 N *9.006 E *000 8 89342 12-1U-79 2 6479. ,WHEN MACHINE VALIDATED IN THIS SPACE, THIS BECOMES A PERMIT. 12 1 Il l; .171 91 893,5= ;49,00 RR' CC 0 U uJ 0Z