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1979, 10-09 Permit: 79-5544 RemodelPLAN NUMBER APPLICATIONI PERMIT SPOKANE COUNTY — BUILDING CODES DEPARTMENT NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675 PERMIT NUMBER DATE /d 02* *I T 0 0 *17.00 554.3 10-09-79 ;� 6479, CHANGE OF USE FROM TO Split �ntry Split Level Ranc er APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 4 COPIES 1. JOB ADDRESS All��G No. Rooms Rec. Room "'- O©� C rs s & (Jd LEGAL DESCRIPTION - SEE ATTACHED ❑ BLD. ❑ PLMB. ❑ MECH: ❑ M.H. LOT BLOCK SUBDIVISION of EXEMPTION I PARCEL NUMBER/S 2 FEES COLLECTED $,j ,- s �I(� yt C� L re1 PHONE 13.E y 3 --7191- (-)VV 114 L H Single $ 1 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 P 9 9 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 ADDRESS , Plumbing DATE�tl / - �y ZIP Required Set Backs in Feet SPECIAL APPROVALS ` • 61G a✓C r DEPT. REQ'D. RECD. r q -` ' North South East West i ( // het%. CONTRACTOR Planning , SEPA PHONE Size of Pa Fel Zone Claskification Co. Engineer , ,,r , Other (Specify) Utilities , /,-JY 4' ADDRESS ZIP Type Const. Occupancy Sprinklered THIS BECOME(S} A PERMIT. 7 � 7 9 1. ''"�. ? * /. 7 17. I ❑Yes []No ❑ Req'd. DESIGNER PHONE Valuation Building Area in Sq. Ft. y y, 5. ADDRESS ZIP DWL Area Basement Area Garage Area Storage PERMIT NUMBER DATE /d 02* *I T 0 0 *17.00 554.3 10-09-79 ;� 6479, CHANGE OF USE FROM TO Split �ntry Split Level Ranc er 6. r1 TYPE ❑ NEW ❑ ALT. ❑ AD'N. ❑ RPL. No. Baths I No. Floors ❑ MVE. No. Rooms Rec. Room "'- 7, OF ❑ OTHER ❑ BLD. ❑ PLMB. ❑ MECH: ❑ M.H. POOL CERTIFICATE Req'd. Recd. Not Req'd. WORK of EXEMPTION I DES,CRIBE WQRK " - 9 I �, FEES COLLECTED $,j ,- s �I(� yt C� L L ; �. Vq UATION Sou ce GAS ELECTRIC WATER SEWER 9. ' - Utilities Single $ 1 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 P 9 9 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�tl / - �y t, SIGNATURE A Mech. SPECIAL APPROVALS SPECIAL CONDITIONS: DEPT. REQ'D. RECD. Plan Check Env. Health i ( // het%. Planning , SEPA Fire Marshall Mobile Home Co. Engineer k Other (Specify) Utilities TOTAL $ Zone Clearance WHEN MACHINE VALIDATED IN THIS SPACE, SEPA Checklist THIS BECOME(S} A PERMIT. 7 � 7 9 1. ''"�. ? * /. 7 17.