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1979, 10-11 Permit: 79-5787 Residence
PLAN NUMBER APPLICATION/PERMIT PERMIT NUMBER �-7, 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 `, 2 JOB ADDRESS 1. h/1 3r 1-�4)6 (--. LEGAL DESCRIPTION — SEE ATTACHED *21 1, or; ry LOT 2./ BLOCK / SUBDIVISION ^ ISG / tiS�l S 1 PARCEL NUMBER/S *21 1.0(1x- OWNER _ firz 1 s PHONE j29-3�-3q E �O 3. 57 8 6 ADDRESS ZIP/, IPQ 6 Required Sett Backs in Feet 2— 1--p - f5 1 ��'� / 7 2� North J South East West / / 1 0 — 1 1 — 7 9 CONTRACTOR ✓ PHONE Size of Parcel /Olv,(o7 ©/ Gam' Zone Classification i>t Z 6.479. 4. ADDRESS ZIP Type Const. Occupancy S rinklered ❑Yes 90 ❑ Req'd. DESIGNER PHONE Valuation Building Area in Sq. Ft. 5. ADDRESS ZIP DWL Area Base, g nt Area Gara a rea Storage CHANGE OF USE FROM TO Split Entry SPlit evel Rancher 6. TYPE C'NEW El ALT. AD -N. RPL. MVE. No. aths No. Floors 3 No.�ms Rec. Room 7, OF OTHER WORK 1:1BLD. ❑ PLMB. ElMECH: ❑ M.H. ❑ POOL CERTIFICATE Req'd. Recd. JN]�!q'cl. of EXEMPTION DESCRIBE WORK !_ OZ�� FEES COLLECTED 8 / e64-) VALUATION Source GAS ELECTRIC WATER SEWER 9, of 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 regulating construction or the performance of construction. Plumbing DATE a-4 —72 SIGNATURE Mech. SPECIAL APPROVALS SPECIAL CdNDITIOIQr. DEPT. REQ'D. RECD. Plan Check Env. Health j�� G Cg SEPA Planning _ `J Mobile Home 0 - cn z Fire Marshall Other (Specify) Co. Engineer UUllties �7 TOTAL Zone Clearance WHEN MACHINE VALIDATED IN THIS SPACE, SEPA Checklist �THIS�B�COItfIF„fS A?1_MIT. I �, -, t DATE __. OFFICIA __ J �� i * L