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1979, 07-12 Permit: 79-416 Addition GaragePLAN 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 JOB ADDRESS 1.N 37ZO P/,P-k ROAD LEGAL DESCRIPTION —SEE ATTACHED LOT BLOCK SUBDIVISION LOTS I "THP-kk 3 571 dF LT(' PARCEL NUMBER/S 2 sLoUG /s, oac 1+w AvF- . Abvrnon+_ 1 06543 -2 2.36 CHANGE OF USE FROM ITO 6. Kequired Set Backs in Feet OWNER Sizeof Parcel PHONE 3, -nML S Type Const. 2- Sprinklered ADDRESS ZIP Valuation QQ 3 x'000 92 DWL Area CONTRACTOR Garage Area PHONE N ' 4. Split Level Rancher tiR A ADDRESS No. Baths ZIP No. Rooms Rec. Room DESIGNER PHONE 5. ADDRESS ZIP CHANGE OF USE FROM ITO 6. Kequired Set Backs in Feet ZSizeNorth South 40 East C, West 12,5- Sizeof Parcel Zone Classification /48' X.5-5 RREr 1AiG7KIIf.LU=Wl1QAL--5(A.e Type Const. Occupancy Sprinklered v -N I ❑Yes ❑No ❑ Req'd. Valuation QQ Building Area in Sq. Ft. x'000 Go DWL Area Basement Area Garage Area Storage N ' Split Entry Split Level Rancher tiR A N A No. Baths No. Floors No. Rooms Rec. Room TYPE ❑ NEW ❑ ALT. LSI AD'N. ❑ RPL. ❑ MVE. L�LL 7, OF ❑ OTHER WORK C�-BLD. ❑ PLMB. ❑ MECH: ❑ M.H. ❑ POOL CATE Req'd. Recd. Not Rec PTION DESCRIBE WORK 8Apprnotq O F C S O / FEES COLLECTED VALUATION Source GAS ELECTRIC WATER SEWER 9. 9 -Do o ut °hies EXI S T1 1 hereby certify that I have read and examined this application and have read e NOTICE" provisions included on reverse side, and know the same to be true and correct. All p ons flaws and or finances verning this type of work will be complied with whether specified he or not. The ranting of a emit oes of presume to give authorit to violate or cancel the provisions of any oth r state br ocal law re l�iing onstr fiction or the performan e o constrIiionn.. DATE _ _ L L_ _ SIGNATURVZ— / f SPECIAL APPROVALS DEPT. REQ'D. RECD. Env. Health Planning Fire Marshall Co. Engineer Utilities Zone Clearance SEPA Checklist SPECIAL CONDITI Single $ Building 00 2% Plumbing Mech. Plan Check SEPA Mobile Home Other (Specify) PERMIT NU BER l (4 DATE 02* *27.00 *27.00 *27.006 A *a00 41,52 07-12-79 ;9 6479. TOTAL $ WHEN MACHINE VALIDATED IN THIS SPACE, THIS B COM S A P RMIT. DATA FFICIAI. .i r `Z..'�-1- t' Z *27,00 /Icd, � CTb�2( �zI-dd