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1979, 12-27 Permit: 79-9541 Dishwasher, Sink PLAN NUMBER APPLICATION/PERMIT t) PERMITN=MBE ' I Ill SPOKANE COUNTY — BUILDING CODES DEPARTMENT ��-1(' �c'"11 NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509)456-3675 DATE APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 4 COPIES JOB ADDRESS 0 3 * * BOO 1. . e1 Cf3c.d jA A�yO . LEGAL DESCRIPTION — SEE ATTACHED * 8 0 0 LOT BLOCK SUBDIVISION PARCEL NUMBER/S * 8 10 0 2. �i /� R �J yy� /• / n '�JIy)Jy / E /t 3. OWNER,/Gf IC. 4., rine l4 /z� 1 (!1 14-/ C%�rcV"(/ �/ * V.O O cpv ADDRESS//l /� /� ///��� Zlp(/�y�/�, /� Required Set Backs in Feet 9 5 4,0 y -D_() SA A /C.) / `—'� K� North 'South East 'West 12—2 7_7 9 CONR / PI-ONE Size of Parcel Zone Classification 4. - - -- e)ZtAe.--it 4Y //7d 2 6.4 7 9. A SS Z,11P Type Const. Occupancy Sprinklered 6 3.-2 -7 . g- - ❑Yes ❑No ❑ Req'd. DES GN R 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 No. Baths No. Floors No. Rooms Rec. Room ❑ NEW ❑ ALT. ❑ AD'N. ❑ RPL. ❑ MVE. 7. OF ❑ OTHER WORK ❑ BLD. XPLMB. ❑ MECH: ❑ M.H. ❑ POOL CERTIFICATE Req'd. Rec'd. Not Req'd. �'���'\\l\\\ of EXEMPTION DESCRfel JIBj WORK �� 7� 8. /�,�L r FEES COLLECTED VALUATION 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 "L 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 Mech. SPECIAL APPROVALS SPECIAL CONDITIONS: DEPT. REQ'D. REC'D. Plan Check Env.Health oc Planning SEPA O - w 2 Fire Marshall Mobile Home rn z Co. Engineer Other (Specify) t. LUtilities TOTAL $ ' Zone Clearance SEPA Checklist WHEN MACHINE VALIDATED IN THIS SPACE, THIS BECOMES A PERMIT. 7 64.444474_ 2. — L / — / y` 5 4. v * 6,1U li DATE/42.-0g OFFICIAL C,- I APPROVED FOR ISSUANCE