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1979, 07-05 Permit: 79-7611 Mechanical Fixture PLAN NUMBER APPLICATION/PERMIT PERMIT NUMBER SPOKANE COUNTY - BUILDING CODES DEPARTMENT G 77J 7 // NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509) 456-3675 DATE L APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 4 COPIES JOB ADDRESS .2ri1111.1"-* O 4 * * 1 2 0 0 1. t2 iO 3 `�e LEGAL DESCRIPTION - SEE ATTACHED * 1 2 0 0 N LOT BLOCK SUBDIVISION PARCEL NUMBER/S * 1 2 O O rle ..)2. PHONE O W N El� _ -c YM.J i s' q 6 GSL)1 B * 0.0 03 ADDRESS ZIP Required Set Backs in Feet 7 6 1.0 R - North 'SouthEast (West CONTR PHONE Size of Parcel Zone Classification 1 1 1 37 9 4. TOR 'n 7 y 484`40 A 6.4 7 9. ADDRESS //, AA_ ZType Const. Occupancy Sprinklered IN ��1 J �� IJ/YV``z. n ' ^ ❑Yes ❑No ❑ Req'd. DESIGNER PHONE Valuation Building Area in Sq. Ft. 5' ADDRESS ZIP DWL Area Basement Area Garage Area Storage — CHANG OF USE FROM TOSplit Entry Split Level Rancher 6. ( _ �, No. Baths No. Floors No. Rooms Rec. Room TYPE ❑ NEW ©ALT. ❑ AD'N. ❑ RPL. ❑ MVE. 7 WORK ❑ BLD. ❑ PLMB. ❑ MECH: 0 M.H. ❑ POOL ❑ OTHER - CERTIFICATE Req'd. Rec'd. Not Req'd. of EXEMPTION DESCRIBE yVORK $ I C06.3 u t .Ni 0 v vw V FEES COLLECTED VALUATION Source GA ELECTRIC Y 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 ocal law regulating construct'on or the performance of construction. a C, Plumbing DATE �- '�� SIGNATURE_ /�.IIII I� /, ®� Mech. SPECIAL APPROVALS SPECIAL CONDITCNS: DEPT. REQ'D. REC'D. .,..r-' Plan Check ;'1 � Env.Health , ^ `- , / , SEPA o I- Planningw — r,_ Mobile Home C' Fire Marshall z Co. Engineer Other (Specify) Utilities TOTAL $ Zone Clearance WHEN MACHINE VALIDATED IN THIS SPACE, SEPA Checklistj \ THIS,BCO� AEE�RMIT. DATE//`� OF _� 1 J. �{ , 7a 1. 1 * 1 2,0 0 ° I' _ A"'i t "IR ISSUANCE _