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1979, 09-07 Permit: 79-3578 MHPLAN NUMBER APPLICATION/ PERMIT SPOKANE COUNTY — BUILDING CODES DEPARTMENT DE ROBE WOR. 8 j� . / �D FEES COLLECTED rci VALUATION Source GAS ELECTRIC WATER SEWER of /� Ism r 9, utilities Single $� 1 hereby certify that I have read and examined this application and have read the "NOTICE" provisions included K on reverse side, and know the same to be true and correct. All provisions of laws and ordinances governing this Building JD' 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 performance of construction. , Plumbing DATE SIGNATURE Z�Mech. SPECIAL APPROVALS SPECIAL CONDITIONS: DEPT. REQ'D. RECD. Plan Check Env. Health _ SEPA Planning Fire Marshall Mobile Home Co. Engineer Other (Specify) Utilities Zone Clearance SEPA Checklist DATE/ —/--77 0 F F I C I A I./cd�z�i , TOTAL $ ` PERMIT NUMBER ? 9 — 7� DATE 9-7`' 79 02* *50,00 * 50.00 N 357:72 09-07-•79 6,479. WHEN MACHINE VALIDATED IN THIS SPACE, THIS BECOMES A PERMIT. *50.vQn 'r- NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675 APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 4 COPIES JOB ADDRESS j�C LEGAL DESCRIPTION —SEE ATTACHED � LOT I BLOCK SUBDIVISION . PARCEL NUMBER/S j� 3— L 2. Artac ( f e - OW ER P ON 3. r a& ADDRESS ZIP Required Set Backs in Feet ,/ 1 / of North South J�%� East ?L9,% West CON RACTOR PHONE Size of Pycel 02 Q,3� ;Z;,e Classification La 4. ADDRESS ZIP Type Const. Occupancy Sprinklered ❑Yes []No ❑ Req'd. DESIGNER PHONE Valuation Building Area in Sq. Ft. 5' ADDRESS ZIP DWL Area Basement Area Garage Area Storage CHANGE OF USE FROM TO Split Entry Split Level Rancher 6. TYPE ❑NEW ❑ALT. ❑ AD'N. ❑ RPL. ❑ MVE. No. Baths No. Floors No. Rooms Rec. Room 7, OF ❑ BLD. ❑ PLMB. OTHER ❑ MECH: ❑ MHPOOL ❑POOL CERTIFICATE Req'd. Recd. Not Req'd. WORK of EXEMPTION I DE ROBE WOR. 8 j� . / �D FEES COLLECTED rci VALUATION Source GAS ELECTRIC WATER SEWER of /� Ism r 9, utilities Single $� 1 hereby certify that I have read and examined this application and have read the "NOTICE" provisions included K on reverse side, and know the same to be true and correct. All provisions of laws and ordinances governing this Building JD' 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 performance of construction. , Plumbing DATE SIGNATURE Z�Mech. SPECIAL APPROVALS SPECIAL CONDITIONS: DEPT. REQ'D. RECD. Plan Check Env. Health _ SEPA Planning Fire Marshall Mobile Home Co. Engineer Other (Specify) Utilities Zone Clearance SEPA Checklist DATE/ —/--77 0 F F I C I A I./cd�z�i , TOTAL $ ` PERMIT NUMBER ? 9 — 7� DATE 9-7`' 79 02* *50,00 * 50.00 N 357:72 09-07-•79 6,479. WHEN MACHINE VALIDATED IN THIS SPACE, THIS BECOMES A PERMIT. *50.vQn 'r- bmi Se OSWAfib .# Pedlt 1At Mur .� toot t►ko !olio a ern �' i�Irt ! '�rahi �''�. mar , �•M.�t. � � 7 1w! �j�awe �i 3talto � i.i. •= �t �a mia iia Ot Ot" 800"m 34 IJ79 � tK or'�li! as" mosgua j &*rum � oar tiN► a"" 1as at add �lsl�anft . *0 two w Vas of MM 'WIS&L.-ft '� ' r W* bio: t� �t irt= wst s�. me 1�t 1� l�eot � � �e as l &tool GOMM � a l of 0"d #Nt e " i SoetiaF Moab �.�'. ® �ea'a �a `3