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1979, 09-26 Permit: 79-4750 Plumbing Fixtures (PLAN NUMBER APPLICATION/PERMIT PERMIT NUMBERS I 0 II SPOKANE COUNTY — BUILDING CODES DEPARTMENT p U - `� —7 ' NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509) 456-3675 DATE Z _ 7 J APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 4 COPIES JOB ADDR S 03* * 3050 1. 70q RO � RD LEGAL DESCRIPTION - SEE ATTACHED *3050 OT. BLOCK SUBDIVISION PARCEL NUMBER/S Z * 30.50 OWi vR'" / ) n,0 %b PHONE E * O,O O V 3 ADDRESS ZIP ' Required Set Backs in Feet 4 711,9 M North 'South East 'West 0 9-2 6-7 9 CONTRACTOR PHONE Size of Parcel Zone Classification 4. A RA/0b l' 155c/1 9.2‘ --5w3_. 1 6479, DD/R/ES'5-.1 +S' )//�' / ✓� /�l,' ZIP //1 Type Const. Occupancy Sprinklered F/L4. '3 Y A 1.t y 141 Vi R!o'�T'Y,L" "f33 I Oyes ❑No ❑ Req'd. DESIGNER PHONE Valuation Building Area in Sq. Ft. 5' ADDRESS ZIP DWL Area I Basement Area Garage Area Storage CHANGE OF USE FROM TO Split Entry Split Level Rancher 6. TYPE No. Baths No. Floors No. Rooms Rec. Room ❑ NEW ❑ AL���Tttt ❑ AD'N. ❑ RPL. ❑ MVE. 7. OF ❑ OTHER WORK ❑ BLD. PLM B. ❑ MECH: ❑ M.H. ❑ POOL CERTIFICATE Req'd. Recd. Not Req'd. of EXEMPTION DESC BE WORK FEES COLLECTED VALUATION I Source GAS ELECTRIC WATER SEWER of 9. Utilities Single $ — I 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 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 or local law regulating construction or the g 9.5.-D performance of�construction. � • Plumbing DATE�! ' , " o -� ' / 7 SIGNATURE V►^-/J� �� L] 4Mech. t SPECIAL APPROVALS SPECIAL CONDITIONS: DEPT. REQ'D. REC'D. Plan Check Env.Health of SEPA ~— Planning — a. Mobile Home cn Fire Marshall z p i 'T 3 , v Co. Engineer Other(Specify) Utilities TOTAL $ - ©'J d Zone Clearance WHEN MACHINE VALIDATED IN THIS SPACE, SEPA Checklist THIS pECOMES A PERMIT. , p DATE OFFICIAL APPROVED FOR ISSUANCE -