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1979, 11-19 Permit: 79-8037 Conversion to Duplex
PLAN 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 O 3c7 [i-10--rrA,1 LOT BLOCK SUBDIVISION LEGAL DESCRIPTION - SEE ATTACHED 3. OWNER /po �r'v ADDig •7• 1 6 etztvl INA P 34 PARCEL NUMBER/S � Ij L,.,Z ,,. t 12.1 or 1 ?1 Lo ,-, 2 et2 Required Set Backs in Feet North 25e° ISouth78OMA1 IEast West 3 O 4' ADDRESS CONT PHONE Size of Parcel Zone Classifidatio ZIP Type Const. Occupancy rinklered ❑Yes No 0 Req'd. DESIGNER PHONE Valuation Building Area in Sq. Ft. ADDRESS ZIP DWL Area I Basement Area Garage Area Storage CHANGE OF USE FRC 6. TO Split Entry Split Level Rancher TYPE 7. OF WORK f W ALT. BLD. LrD. ❑ PLMB. O AD N. O MECH: ❑ RPL. ❑ M.H. O MVE. ❑ POOL 0 OTHER No. Baths No. Floors No. Rooms Rec. Room CERTIFICATE of EXEMPTION Req'd. Rec'd. Not Req'd. DESCRIBE WORK 8. N\01 1,0IJ Iz ©'cl�At L `! PM f 10 t7[_ 'L' 9.GOVAUUATIONQ Source GAS ELECTRIC WATERT �J" 0((�J��jj of Utilities 1 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 DEPT. ) / ;? SPECIAL APPROVALS REQ'D. RECD. SIGNATU Env H Ith Planning Fire Marshall Co. Engineer Utilities Zone Clearance SEPA Checklist SPECIAL CONDITIONS: rrw oil GALL. cj, e0R wtka) PLANS CL.EAM. C M:O° t4) FEES COLLECTED Single Building Plumbing Mech. Plan Check SEPA Mobile Home Other (Specify) TOTAL PERMIT NUMBER 79-037 DATE //-10— 71' 02* *5000 * 50.00 * 50,00` *000 803.6.. 14k,-19-79 WHEN WHEN MACHINE VALIDATED IN THIS SPACE, THIS BECOMESI1��A PERMIT. '1 7 - / 7 7 DATE OFFICIAL nDnonvrn cnn loci! mr,c *5000H 1— INCPFr nR