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1979, 08-29 Permit: 79-3082 Reside, ReroofPLAN NUMBER APPLICATION/ PERMIT SPOKANE COUNTY — BUILDING CODES DEPARTMENT NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675 CHANGE OF USE FROM TO APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 4 COPIES Split Entry JOB AD/DRESS Rancher LEGAL DESCRIPTION - SEE ATTACHED lew 6 //V .. > J LOT BLOCK 1:1MVE.F PARCEL NUMBER/S�� 2. No. Rooms ISUBDIVISION OTHER ❑ POOL O N PHONE � 3. L Req'd. C TU)47 b A &DRES.5 of EXEMPTION ZIP Required Set Backs in Feet ^� d _� North South East I.West 8 CONTRACTOR FEES COLLECTED PHONE Size of Parcel Zone Classification 9. L 00 f� Utilities Single $ A6Ktcµt_ L_ 5 t48 4. on reverse side, and know the same to be true and correct. All provisions of laws and ordinances governing this Building1_ 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 ADPRESS ZIP Type consT7 Occupancy Sprinklered DATE P-% SIGNATURE Mech. SPECIAL APPROVALS ❑Yes ❑No ❑ Req'd. DESIGNER PHONE Valuation Building Area in Sq. Ft. �J. SEPA Planning ADDRESS ZIP DWL Area Basement Area Garage Area I Storage CHANGE OF USE FROM TO Split Entry Split Level Rancher 6. lew 6 //V .. > J A/ TYPE ❑NEW 1:1 ALT. ElAD'N. El RPL. 1:1MVE.F No. Baths No. Floors No. Rooms Rec. Room 7. OF WORK ❑ BLD. ❑ PLMB. ❑ MECH: ❑ M. H. OTHER ❑ POOL CERTIFICATE Req'd. I Recd. Not Req'd. of EXEMPTION DESCRI,QE WORK 8 FEES COLLECTED VALUATION Source f GAS ELECTRIC WATER SEWER 9. L 00 f� Utilities Single $ 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 Building1_ 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 nstruction or the performance of construction. Plumbing — —7t? 7 DATE P-% SIGNATURE Mech. SPECIAL APPROVALS SPECIAL CONDITIONS: DEPT. REQ'D. RECD. Plan Check Env. Health vtw� SEPA Planning Fire Marshall Mobile Home Co. Engineer Other (Specify) Utilities Q f TOTAL $ C_ Zone Clearance WHEN MACHINE VALIDA7 SEPA Checklist Pay DATE %-71? OFFICIAL&J& �i/.f JCL THISIBECOMES A 7ER MIT. ) - 2 PERMIT NUMBER 7q - SO,? DATE 02* *19.00 * 1 9,00 * 1 9.001, E *0,00 30819 08-29-79 ;? 6479. IN THIS SPACE, R�" *19,002f�