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1979, 10-29 Permit: 79-6885 ResidencePLAN NUMBER APPLICATION/ PERMIT PERMIT NUMBER 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 Q2*' �'�7�00 JOB ADDRESS ' 1 -� LEGAL DESCRIPTION - SEE ATTACHED 1.� y� *27R00 LOT BLO K S-UQDIVIS-1QFN PARCEL NUMBER/Soar-���v� 2. t0 � 'ir>GL L/t' i� � %D7".� l��K .� *27a0001 *0001 NER PHONE 3. ''- i/Z-x..8 6 8 a 4;t ADDRESS ZIP Required Set sacks in Feet •.L % ,L/(.; - �c , w e, YL-, tNL�-tk '� ""1 North South, East /� / West�� / 10-29-79 C N RACTOR PHONE Size of arel Zo a CIassifI tion p �4o , • f 6479. 4. ADDRESS ZIP Type Const. Occupancy Sliprinklered k..� ❑Yes []No ❑ Req'd. \ DESIGNER PHONE Valuation GO Building Area in Sq. Ft. 5. 9 Gae) 7ff - ADDRESS ZIP DWL Area / Basement Area Garage Area Storage CHANGE OF USE FROM TO Split Entry Split Level Rancher s. x TYPE ( NEW 1:1ALT. ElAD'N. 1:3RPL. 11MVE. No. Baths h No. Floors % No. RoomsRec. Room —� 7, OF 11 OTHER CERTIFICATE Req'd. Recd. Not Req'd. WORK ❑ BLD. ❑ PLMB. ❑ MECH: ❑ M. H. ❑ POOL of EXEMPTION DESCRIBE WORK' � 8 J -j-'a � FEES COLLECTED ��, VALUATION Source GAS ELECTRIC WATER SEWER ! if 9. !� D <t4 ' 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 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 re ulating truction or the Plumbing performance of construction. j q �C� -���- �/ /, DATE SIGNAL"' Mech. SPECIAL APPROVALS SPECIAL CONDITIONS: DEPT. REQ'D. RECD. L Plan Check Env. Health (/ SEPA C= C:) Planning (- C3 - w 2 Fire Marshall Mobile Home rn Z Co. Engineer Other (Specify) Utilities dQ 78 TOTA L $_ Zone Clearance )P1-/fin±$ Ol= 60-2,6-7,j WHEN MACHINE VALIDATED IN THIS SPACE, SEPA Checklist THIS BECOMES,A PERMIT. 10 T'-,7 7 6 80, 5 Z 2,/ 00 OFFICIAIjL , .OdjlDATE kg [Al AVE