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1979, 08-31 Permit: 79-3298 Residence PLAN NUMB. ���- - APPLICATION/PERMITPE� NUMBER�� , I SPOKANE COUNTY BUILDING CODES DEPARTMENT , NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509) 456-3675 DATE APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 4 COPIES JOB ADDRESS 'f 1. 12,D7/ 9 iJ, il.'961, LEGAL DESCRIPTION — SEEATTACHED 02 * * 8200 LO K SUED VISION I PARCEL NUMBER/S rOI211oN Or * 8 2 0 0 ti 2. 1 4 Oi�16.� 1" Ape1-rior, r3( 15'�l`1-31 - 0606, * 82.00Li OWNER tc- NE 3. NO�I� GO� 2+ 7w A * 0,00 0 ADDRESS ESS fF ©27 Required Set Backs2-1-27 oKAK� North lSouth , East 30 (West 329.7 CONTRACTOR PHONE Size of Parcel Zo CI ssification p Z 7 9 4' ADDRESS ZIP - 1:Noit st. Occ panty Sprinklered i 6 4 7 9, �`::::> ❑Yes No 0 Req'd. +a DESIGiQER PHONE Valuatiop I 00c„,— �� Area Ft. 5' ADDRESS ZIP IrW_L_bela lase( 42) Garai e/area Storage CHANGE OF USE FROM TO Split Entry /v/uj�" Split lLe`vveell `/P_ Rancher 6. _------ No. aths No. Floors No. 00ms Rec. Room TYPE NEW 0 ALT. ❑ AD'N. ❑ RPL. ❑ MVE. Z [- 7. OF 0 OTHER - WORK BLD. ❑ PLMB. 0 MECH: ❑ M.H. 0 POOL CERTIFICATE Req'd. Rec'd. Not�d. of EXEMPTION DESCRIBEl' WORK� r ,� .J l�'(� �?� 8. Ii 6V\ —� Yl c L MI LY ,J/ATrA�111/IC aiA C/ �,./ FEES COLLECTED 9 V LUATION©� Source Utiof l ties ki .Ery„1 TRIC WATER SrEWERG Single $ — I here5bylCh/hcertify that I have read and examined this application and have read the "NOTICE” provisions included 00 on reverse side, and know the same to be true and correct. All provisions of laws and ordinances governing this Building a2 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 I law regulating construction or the Plumbing performance of construction. 79:'*e", DATE g/2 6(2/7 SIGNATURE , (r—;'7C/ Mech. SPECIAL APPROVALS SPECIAL CONDITIONS: DEPT. REQ'D. REC'D. Plan Check Env. Health P � Y�,_ SEPA P Planning _ U _ w 1 Fire Marshall Mobile Home (/) Z Co. Engineer Other (Specify) Utilities TOTAL $ Zone Clearance WHEN MACHINE VALIDATED IN THIS SPACE, THIS FE'7CO11(IES A QE MIT. SEPA Checklist C. /_ iB"1 _ - ,) � U i / C (, /,,.d--- , 1 DATE - OFFICIAL APPROVED FOR ISSUANCE .9 ccj • ,hr r • x • } iN, n t u1 • A