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1979, 10-16 Permit: 79-6098 CarportPLAN NUMBER APPLICATION/PERMIT SPOKANE COUNTY — BUILDING CODES DEPARTMENT PERMIT NUMBER -7,- C0,0 NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675 DATE APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 4 COPIES JOB ADDRESS i.E /930c ,UlxO( LOT BLOCK SUBDIV S ON LEGAL DESCRIPTION — SEE ATTACHED OWNER a (Ai/ Lt4 .JoNNs ADDRESS e 306 N /Xo.0 PHONE 126- 3Z8t PARCEL NUMBER/S 17553 — l 40� for la IvK -al G unPes unu-EY s ta �nlD ZIP Required Set Backs in Feet / North -13 CONTRACTOR 4. PHONE Sssb3 Size of Parcel 907/30' ADDRESS 7±211 / Co ZIP` -LZ7��O --Tywpe Const. / 'M�� DESIGNER 6. ADDRESS PHONE Valuation ZIP South %9 Occupancy - TZ -3 Basement Area East 7 / 'West Zone Classification 6421 -- - Sprinklered - --- I]Yes ❑No Building Area in Sq. Ft. DWL Area I Garage Area Storage CHANGE OF USE FROM 6. TO Split Entry Split Level l Rancher TYPE 7, OF WORK NEW ❑ BLD. ❑ ALT. • PLMB. El AD N. ❑ MECH: ❑ RPL. ❑ M.H. MVE. ❑ POOL DESCRIBE WORK 8. CA�Po�%— CC •r ea ur�P.0 rp. GAS gdov of izso VALUATION Source r Utilities 0 OTHER No. Baths No. Floors No. Rooms Rec. Room CERTIFICATE of EXEMPTION Req'd. ELECTRIC WATER SEWER 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 correc . 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 p.ilocaLlaw regulating constructign pr the performance of construction. DATE - 29 SIGNATURE DEPT. SPECIAL APPROVALS REQ'D. RECD. Env. Health Planning (et 7/2 VI Fire Marshall Co. Engineer Utilities Zone Clearance' SEPA Checkllst SPECIAL CONDITIONS: DATE 1*(19 r OFFICI APPRFOR ISSUANCE Recd. Not Req'd. FEES COLLECTED • Single $ / Building 7 Plumbing Mech- Plan Check SEPA Mobile Home Other (Specify) TOTAL $/7 SO 02* *1 7.50 *.1750 *1.7.506 E *000 8 609.72 10-16-79 2 64 7 9. WHEN MACHINE VALIDATED IN THIS SPACE, THIS B CO E rA MIT. ly7,i� 6,-1/19 6' Z *17.5.0 o. r• J 1 /tVC jig Ex/sr/A1 t- REc510.6A/A _ 1 1 • 9 -7--