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1979, 08-15 Permit: R-104 ResidencePLAN NUN,j ER APPLICATION/ PERMIT PERMIT NUMBER ' 0 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 02* *70.00 * 7 0. 0 0 N JOB ADDRESS, � � I 309, Logo &WW LEGAL DESCRIPTION -SEE ATTACHED 7 Q O O v iISUBDIVISI BL CK -ON P ARCEL NUMBER/S 01 5d-] -04-1 z E *Goo v OWNER P 3 IOONE Zp F 2 2 1.7;o ADRE S Required Set acks in Feet j j North �South4zi East 14iWest8 —15-79 CONTRACTOR PHONE Size of Pa el �� Zo a CI ssification, 0 -3� 9 6479, 4' ADDRESS, ZIP Ty fl Const. Occfupancy SSprinklered �i� '�_ ❑Yes No ❑ Req'd. DESIGNER PHONE V luation ^ J Building A ea in Sq. Ft. 5. - ADDRESS ZIP OWL Aa Basement , rea Ga age Area Llj ty/v�'7 ;SSpli+Level Storage CHANGE OF USE FROM TO S li Entry Rancher 6. 7y JE4y y ,�.,/� TYPE L`i NEW ❑ ALT. ❑ AD'N. ❑ RPL. ❑ MVE. No. Baths No. Floors No. Rooms <= Rec. Room 7, OF_/ ❑OTHER �r Req'd. Recd. Not R@q'd.POOL WORK BLD. ElPLMB. 1-1MECH: 11M, H. ❑ CERTIFICATE of EXEMPTION DESCRIB Ej WORK 8 /^ ^ � ' ' FEES COLLECTED VA ATI N—✓ Source GA ELECTFjFC WATE � SEWER 9. 1`50of Utilities 4/1` „r- 0 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 9 7f 0CLA-"',)�� DATE SIGNATURE _ Mech. SPECIAL APPROVALS SPECIAL CONDITIONS: DEPT. REQ'D. RECD. Plan Check Env. Health SEPA i-- Planning Fire Marshall Mobile Home a. Z Co. Engineer Other (Specify) Utilities !!JJ,//����C�.�� TOTAL $� Zone Clearance IN THIS SPACE, / WHEN MACHINE VALIDATED SEPA Checklist THIS CO MIT. ffOl�A 7 yOFFICIA 221,81 *70,000oi DATE r- , „. • • ,, • ' • •-••• ...• • • ,. .• • " • •'. • .„ • • • , ,, • . • , , . Loy:_.: .1 1 'J.:. .47. /to rios 4OtP�ta--a-• . . .... ..„ - . SROSAkJ iv Ty - - . . • 12 - • . 14 • - J. , • „ -• , ..• •••:: :-..„ .— • Cj4.''•••11:-..±.7.•!•:::::' ' • •-•7,7:-. -27t.•:••-;:7::.•••.•17 7 ••• •••-• 27.'7 ." :•- 7 • : ' - • 77 • 7: a . •;!•• 77. 7 •'''7•77:•••H117:,.•:•1•1:77:1•••[:`•:•.:71.."I.7... • \ • • • • : -•••—••• • • - , „ , . • . „ , , • , , , - • • •• • • . „ • • • , .1 • • . „, ' , • . , . . . - ' , . . ' • • , . - • • . ' ' - • - REVISIONS , , • , • . dmistioN-- ,, • '``. r ,...„ 2 ' 3 - 7:-'•51461< E.;'/WAV , - -- 77512 • --,•••-•.- --„•••••••- . CHECKED•-• DATE