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1979, 11-05 Permit: 79-7272 Garagey PLAN NUMBER JOB ADDRESS i1 ,:Z7� 71 11WE R 4 31 3. 2 ADDRESS 1-9,914 COWRACTOR 4. DESIGNER 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 TO Split Entry LEGAL DESCRIPTION — SEE ATTACHED SUBDIVISION oRc�A�.D AvE. sua. 6. P CEL NUMBER/S o(05C43-7-3oq PH 0N1- (4S�� 2'107.LCf No. Baths ..J No. Rooms ,AJ TYPE NEW ALT. 1-1AD'N. El RPL. ElMVE. ZIP Required Set,Backs in Feet ' I f wt! 7, OF ❑ OTHER North ! South East West Recd. PHO ESize �z7e of Parcel Zone Classification I ?ZZ P % Typ Const. Occupancy Sprinklered VALUATION Aource ! 9� ) ,C7 ELECTRIC WATER ❑Yes ❑No ❑ Req'd. ^" of 9. 9 . Utilities PHONEaluati/o�n ji C Building Area in Sq. Ft. Single $ ZIP DWL Area Basement Area Garage Area r f Storage CHANGE OF USE FROM TO Split Entry Split Level Rancher 6. No. Baths No. Floors No. Rooms Rec. Room TYPE NEW ALT. 1-1AD'N. El RPL. ElMVE. 7, OF ❑ OTHER CERTIFICATE Req'd. Recd. XBLD. ❑ PLMB. ❑ MECH: ❑ M.H. POOL WORK of EXEMPTION I rReq'd DES IOR FEES COLLECTED 8 VALUATION Aource GAS ELECTRIC WATER SEWER ^" of 9. 9 . Utilities Single $ 1 hereby certify that I have read and examined this application and have read the "NOTICE" provisions included �oQ o0 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/qr local law regulating c struction or the performance of construction. Plumbing t o DATE SIGNATUREJ Mech. SPECIAL APPROVALS SPECIAL CO (TIONS: DEPT. REQ'D. RECD. Plan Check Env. Health M yea" o C/WRAC © SEPA Planning Mobile Home Fire Marshall Co. Engineer Other (Specify) Utilities 39 TOTAL $ a -- Zone Clearance SEPA Checklist DATE OFFICIAL DATE PERMIT NUMBER 79- C) 2 9- u2* X38,00 *3800 J800, E * n n n 7154f 11-01-79 6479. THIS BECOMES A PERMIT. 11'0 I /2', " *38.00 e.°r' CS -1.