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1979, 10-05 Permit: 79-5430 GaragePLAN 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. 1 LOT tBL ICK SUOBDIVISION IC" 2. ICP 2 SAI rN -7 tnitT LEGAL DESCRIPTION - SEE ATTACHED OW ER • KC f,t�. O�—Il rrr4 KYY COT ADDRESSIo IC �i %\ �i1�t el LI/lo PARCEL NUMBER/S G4,7 I7_I IP Required Set Backs in FeG,1t North T/2- (South �• ast / IWe AD KESS - [56>4 *S 17 PONE L-48-- 7 Z P 5. DESIGNER PHONE9o� Size of Parcel_ 0°)C 15° Type Const. Occupancy Zone Classification s1146th t4M Sprinklered DYes DNo 0 Req'd. Valuation B u ildl ngre� in Sq. Ft. ADDRESS ZIP DWL Area Basement Are GaM9e Are Storage CHANGE OF USE FROM 6. TO Split Entry Split Level Rancher TYPE 7. OF WORK E,V�/NEW 0 ALT. 0 AD N. 0 RPL. 0 MVE. IX BLD. 0 PLMB. 0 MECH: 0 M.H. 0 POOL 0 OTHER No. Baths No. Floors No. Room Rec. Room CERTIFICATE of EXEMPTION Req'd Recd Not Req'd DESCRIB WO K r ea Irmo. (2_1:: < 9—(I—cI LU�7T ON ource ELECTRIC g. 5700 of Utilities 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 construction or the performanc• of c.nstruction. DATE DEPT. SPECIAL APPROVALS REGD. REC'D SIGNATURE /..✓C. L d /V / Env. Health Planning C/r r�ee 27/n Fire Marshall Co. Enginee Utilities Zone Clearance SEPA Checklist SPECIAL CONDITIONS: I I,l 293 F-1) b . '/°nnw ('ry'e• bIG0455��) DATE /OFFI�J Lir �1CI APPROVE -6 FOR ISSUANCE FEES COLLECTED Single $ Building Plumbing Mech. Plan Check SEPA Mobile Home Other (Specify) 35 00 TOTAL $ PERMIT NUMBER -30 DATE *3500 54292 10-05-79 B 6479. WHEN MACHINE VALIDATED IN THIS SPACE, THIS,B COM F),IAIPE,42MI T. 54'3;05 *'35.0,0 7� , • • !. - • • t 7i t r t - - I Nn I Atokftr Atici Two -t f I • • • • 4 - •