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1979, 10-30 Permit: 79-6988 Water HeaterPLAN NUMBER 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 1. 2. 3. JOB ADDRESS 7- / 4;.a LO LOCK SUBDIVISION LEGAL DESCRIPTION — SEE ATTACHED PARCEL NUMBER/S OWNER L '',�,4 H ,,✓fie i ADDRESS / Y ,4 SS CONTRA TOR 4. ADDRESS y 27, IVY �/��c DESIGNER / V 5. PHONE ZIP Required Set Backs in Feet North 'South East 'West PHONE Size of Parcel Zone Classification ZIP Type Const. Occupancy Sprinklered ❑Yes ❑No ❑ Req'd. PHONE Valuation Building Area in Sq. Ft. ADDRESS ZIP DWL Area I Basement Area Garage Area Storage CHANGE OF USE FROM 6. TYPE 7. OF WORK TO Split Entry Split Level Rancher ❑ NEW ❑ ALT. 0 AD N. KRPL. 0 MVE. ❑ BLD. 0 PLMB. 0 MECH: 0 M.H. 0 POOL 0 OTHER No. Baths No. Floors No. Rooms Rec. Room CERTIFICATE of EXEMPTION Req'd. Rec'd. Not Req'd. DESCRIBE WORK 8. € //.4ce VALUATION 9. Source Utilities of GAS EX_F,tIC WATER SEWER 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 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 r the performance of construction. DATE to ^��- 7Y SIGNATU DEPT. SPECIAL APPROVALS REQ'D. REC'D. Env. Health Planning Fire Marshall Co. Engineer Utilities Zone Clearance SEPA Checklist SPECIAL CONDITIONS: FEES COLLECTED Single $ Building Plumbing Mech. Plan Check SEPA Mobile Home Other (Specify) TOTAL p PERMIT NUMBER 77 'gam DATE O4* *5.50 • :' 0L * 5,50Y a *0,00 6987< 10-30-79 z 6479. WHEN MACHINE VALIDATED IN THIS SPACE, THIS BECOMES A PERMIT. 10-.30-y9 P *5.50