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1979, 10-08 Permit: 79-5485 Plumbing FixturesPLAN NUMBER I, 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 Level JOB ADDRESS 6. 1. , ,�,/ TYPE L7 NEW ❑ALT. 1-1 AD'N. El RPL. 1-1 MVE. LEGAL DESCRIPTION — SEE ATTACHED No. Floors LOT BLOCK ..// ElOTHER 7, OF14-<L ❑ BLD. 14- LMB. ❑ MECH: ❑ M. H. ❑ V PARCEL NUMBER/S z. I JSUBaIVISION Req'd. Recd. OWNE WORK POOL PHONE l 3. of EXEMPTION '/i0i DESCRIBE WORK ADDRESS ZIP Required Set Backs in Feet FEES COLLECTED VALUATION Source GAS ELECTRIC / A ( SEWER 9. of Utilities / North South East West CON RACTO PHONE -.2&U�- Size of Parcel Zone Classification 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 U4-. 29 to give authority to violate or cancel the provisions of any other state or local law regulating construction or the 4. performance of construction. A — Mech. SPECIAL APPROVALS SPECIAL CONDITIONS: AD ESS a DEPT. REQ'D. RECD. ZIP Type Const. Occupancy Sprinklered . 2 J SEPA 9037 ❑Yes ❑No ❑ Req'd. DESIGNER Fire Marshall PHONE Valuation Building Area in Sq. Ft. 5' ©41 TOTAL $� Zone Clearance ADDRESS ZIP DWL Area Basement Area Garage Area Storage CHANGE OF USE FROM TO Split Entry Split Level Rancher 6. ,�,/ TYPE L7 NEW ❑ALT. 1-1 AD'N. El RPL. 1-1 MVE. No. Baths No. Floors No. Rooms Rec. Room ..// ElOTHER 7, OF14-<L ❑ BLD. 14- LMB. ❑ MECH: ❑ M. H. ❑ CERTIFICATE Req'd. Recd. Not Req'd. WORK POOL I of EXEMPTION DESCRIBE WORK 8 FEES COLLECTED VALUATION Source GAS ELECTRIC WATER SEWER 9. of Utilities Single $ 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 Building 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 Plumbing 0 performance of construction. A 7 / SIGNATOR _ ��� DATE JI Mech. SPECIAL APPROVALS SPECIAL CONDITIONS: DEPT. REQ'D. RECD. Plan Check Env. Health SEPA Planning Mobile Home Fire Marshall Other (Specify) Co. Engineer Utilities ©41 TOTAL $� Zone Clearance WHEN MACHINE VALIDATI SEPA Checklist THIS BECOMES A PERMIT. ,. 10- 0�� DATEOFFICI n 1 n nnn it rnn Anne i n ninr R/ n PERMIT NUMBER P 7 — c�—)4 SjE; DATE 03* *28.00 *28,00 *2800 E *0.00 54842 10-08-79 2 6.479. IN THIS SPACE, 48,5r *28.00J�