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1979, 10-16 Permit: 79-6054 Addition GaragePLAN NUMBER ' 14 - ©16 % JOB ADDRESS 1. , P I;z LO BLOC 2 OWNER 3.1, ADDRESS FRACTOR R ESS _az" LX GNER 5. ADDRESS APPLICATION/ PERMIT SPOKANE COUNTY - BUILDING CODES DEPARTMENT NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675 APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 4 COPIES LEGAL DESCRIPTION — SEE ATTACHED SUBD ISI PARCEL NUMBER/S PORT- Ay PHONE i /G'�/%..r1%� /3,�.1� ZIP ` Required Set Backs in Feet _ i North / 7 ! South / East .'S , West ��,:S PHONE Size of Percel + Zone Classification /i 1 r G G ZIP Type Const. Occupancy Sprinklered []Yes ❑No ❑ Req'd. PHONE Valuation Building Area inq. Ft. ZIP OWL Area Basement Area Garag e -Area Storage 6. TO CHANGE OF USE FROM Split Entry Split Level Rancher No. Baths No. Floors No. Rooms Rec. Room TYPE El NEW 1:1 ALT. � AD'N. ❑ RPL. ❑ MVE. %, OF 1:1BLD. ElPLMB. 1-1MECH: ❑ M.H. ❑ POOL El OTHER WORK CERTIFICATE Req'd. Recd. Not Req'd. of EXEMPTION DESCRIBE ORK n FEES COLLECTED 8. r' kly VALUATION Source GAS ELEC R C WATER of 9. , � d Utilities Single $ 1 hereby certify that I have read and examined this application and have read the "NOTICE" provisiincluded on reverse side, and know the same to be true and correct. All provisions of laws and ordinances gBuilding type of work will be complied with whether specified herein or not. The granting of a permit does,] to give authority to violate or cancel the provisions of any other state or local law regulating constr Plumbing performance of construction. DATE G� � SIGNATURE Mech. SPECIAL APPROVALS DEPT. REQ'D. RECD. Env. Health Planning Fire Marshall Co. Engineer Utilities Zone Clearance SEPA Checklist SPECIAL CONDITIONS: V qPlan Check �(V �0� SEPA C P�/ DATE iO DOFF Mobile Home Other (Specify) TOTAL $ �� /� PERMIT NUMBER �: I DATE WHEN MACHINE VALIDATED IN T THIS BrrE�COMES A PERMIT. 1 U '7 0 02* *50.00 *50.00 *5000 A *000 399.52 09-14-79 .@ 6479, UiiJ.4 c3 *5 0 % I,%