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1979, 08-28 Permit: 79-2970 Residence (PLAN NUMBER APPLICATION/PERMIT PERMIT NUMBER 1 , .., .i.- SPOKANE COUNTY — BUILDING CODES DEPARTMENT 7 q-2.9 `d NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509) 456-3675 DATE APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 4 COPIES 0 2 * * 7/&0 0 JOB ADDRESS * 7 4.O 0 1 e-: c 15DG s LEGAL DESCRIPTION - SEE ATTACHED * 7 4 0 0 LOT BLOCK SUBDIVI ION PARCEL NUMBER/S ia0, f �y_ n3 _�� — 1704-- 2. E * 0.0 0'0 0 I �d1JiiI �' r,t In bl'i% 'hfl r ,[ �,`( T- OWNER PHONE 3. NS I ' "t" Gori,- _..276-63A1-- 2 9 6 9 i ADDRESS h ZIP /� Required Set Backs in Feet 0 8-2 8-7 9 ii t2- ox' I 7 ✓ � 7*K- ?00& North 1 (South 2 h East !West 3 `� CONTRACTOR PHONE Size of Earce-I, Zone Classification R 6 4 7 9, ANI r- 135 x 0 II• 1., tA0 , 4' ADDRESS ZIP Type Const. O cup ncy Sprinklered -•A —3 ❑Yes t o ❑ Req'd. 5 DESIGNER PHONE Valiftio C/ I ��� OCA lBuildinp Alin Sq. Ft. — ADDRESS ZIP i0+ ea IBa600 Garage Area I Storage — CHANGE OF USE FROM TO Split Entry /y'!L_7 rV'1!/V,1'1,Spl Level Rancher 6. TYPE ❑ ❑ ❑ ❑ No. Baths Ngoors No,�2ooms Rec. NEW ALT. AD'N. RPL. MVE. 2 i 7, OF �y ❑ OTHER WORK '-ti BLD. ❑ PLMB. ❑ MECH: CI M.H. ❑ POOL CERTIFICATE Req'd. Recd. Not 'd. of EXEMPTION DESCRIBE WORK 8. b'A' iNil L i` "'(/` FEES COLLECTED VALUATION Source GAS ELECTRIC WATER SEWER/ 9, 5-55� G Utiof l ties VMA V , C-- Single $ I hereby ceirtify 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 Building I 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 resulating construction or the Plumbing performance of construction. OwDATE . 4���9 SIGNATUREaC4). A> Mech. SPECIAL APPROVALS SPECIAL CONDITIONS�f DEPT. REQ'D. REC'D. f2 p-14' p/,Fl��/] Plan Check Env. Health r,��"/f�I ll_V y,� 6 ���r/[/ 06 6"Cl/C- CAt� w1,el '"1eo't DeiSEPA _ cece PlanningU cidefray)c.¢. Tee—id, W Mobile Home Fire Marshall — Co. Engineer Other (Specify) Utilities TOTAL $ r Zone Clearance WHEN MACHINE VALIDATED IN THIS SPACE, SEPA Checklist THIS TOWN AMIT. DATEG42F 77OFFICIALA�e2 7 7 O *7 4 0 0 D_ _- APPROVED FOR ISSUANCE _ _, 4,r . _ i Lot COSI , 1 --- "• `,' i PIAT PLAN E r', Ct .x r 1 i r 1 3/ ' , 3a'_ __._ ' 1 r 1 1 CO cvlmt g � M 3 QNI 149 �, o LAI " _. i.-/o' • ©`7,