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1979, 07-11 Permit: 79-339 PlumbingPERMIT NUMBER - 03* *30.50 *3Q50 N *30.50 B *0.00 33,82 07-11-79 ;? 6479. SPACE, 33,92 *30.50°-�J- - APPLICATION/ PERMIT r7= SPOKANE COUNTY — BUILDING CODES DEPARTMENT NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675 DATE APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 4 COPIES JOB QRESS LEGAL DESCRIPTION - SEE ATTACHED O PARCEL NUMBER/S -72;72"T � 2 1• LOT BLOCK SUBDIVISIO ' 2. 1 0- OWNER PHONE b -1 3. ZIP Required Set Backs in Feet DRESS ©t l North South East West Zone Classification HONE Size of Parcel CONTRACTOR 4. ADDRESS ZIP Type Const. Occupancy Sprinklered ❑Yes ❑No ❑ Req'd. PHONE Valuation Building Area in Sq. Ft. DESIGNER 5 ZIP DWL Area Basement Area Garage Area Storage ADDRESS Split Entry Split Level Rancher CHANGE OF USE FROM TO 6. No. Baths No. Floors No. Rooms Rec. Room TYPE NEW El ACTT, ❑ AD'N. ❑ RPL. ❑ MVE. El OTHER Req'd. Recd. Not Req'd. �// 7, OF ❑ BLD PLMB. ❑ MECH: ❑ M.H. ❑ POOL CERTIFICATE of EXEMPTION WORK DES RIB WORK IN,n� FEES COLLECTED Lj v O7�V 8. VALUATIO Source of GAS ELECT �,�EWE� T NN �% 9 utilities CJv�A�� Single $ I have and examined this application and have read the "NOTICE" provisions included I hereby certify that read know the same to be true and correct. All provisions of laws and ordinances governing this Building on reverse side, and specified herein or not. The granting of a permit does not presume 60 type of work will be complied with whether or local law regulating construction or the to give authority to violate or cancel the provisions of any other state Plumbing performance of construction. SIGNATURE _ Mech. DATE SPECIAL APPROVALS SPECIAL CONDITIONS: Plan Check DEPT. REQ'D. RECD. /1� �-` V C�+ -.),00 00 I �` �" Env. Health SEPA Planning Mobile Home Fire Marshall Other (Specify) Co. Engineer Utilities TOTAL $ Zone Clearance WHEN MACHINE VALIDATED IN THIS BECOMES A PERMIT. / 0 7 -11-79 SEPA Checklist DATE 0FFICIA PERMIT NUMBER - 03* *30.50 *3Q50 N *30.50 B *0.00 33,82 07-11-79 ;? 6479. SPACE, 33,92 *30.50°-�J- - RECORD OF INSPECTIONS DATE REMARKS ! in3I 1;1ctioi NSP E CT D