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1979, 11-19 Permit: 79-8039 Mechanical Fixture
PLAN NUMBER APPLICATION/PERMIT ii, PERMIT NUMBER I SPOKANE COUNTY — BUILDING CODES DEPARTMENT 7/7 - x'© 37 NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509) 456-3675 DATE II-j-I APPLICANT: COMPLETE NUMBERED SPACE! — PFSS HARD TO MAKE 4 COPIES 0 * * 1 2.0 0 JOB ADDRESS _ 4/ ((].,� LEGAL DESCRIPTION — SEE ATTACHED * 1 20 0 1 LOT BLOCK aS1IBDIVISION PARCEL NUMBER/S 8 0 3 8 2 2. OWN. R PHONE 1 1 — 1 9-79 3. .. • „ )1'.-4-kg---NN. ADDS Z P Required Set Backs in Feet 4 7 9. rJ North 'South East (West CONTRACTPH E Size of Parcel Zone Classification r 4' ADDRESS ZIP Type Const. Occupancy Sprinklered a 1 © w-_.,,, �9 Lives ❑No ❑ Req'd. DESIGNER PHONE Valuation 'Building Area in Sq. Ft. 5. ADDRESS ZIP DWL Area I Basement Area Garage Area I Storage CHANGE OF USE FROM TO Split Entry Split Level Rancher 6. No. Baths No. Floors No. Rooms Rec. Room TYPE ❑ NEW ❑ ALT. ❑ AD'N. ❑ RPL. ❑ MVE. 7, OF ❑ OTHER WORK 111BLD. CIPLMB. ClMECH: IDM.H. ❑ POOL CERTIFICATE Req'd. Rec'd. Not Req'd. of EXEMPTION - DESCRIBE WORK 8. 1 O 0 j0 - FEES COLLECTED VALU ION 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 performance of construction. Plumbing Ls DATE !/ /e Cl f SIGNATURE ... . _.. _. Mech. /� ?-!- SPECIAL APPROVALS SPECIAL I NDITIONS: DEPT. REQ'D. REC'D. Plan Check Env. Health 94.. 0.44....e.... �� SEPA O I— Planning f_ + ',. , _ w Mobile Home cn Fire Marshall z Co. Engineer Other (Specify) Utilities / et-el,.-- $ "U TOTAL $ ! �� Zone Clearance WHEN MACHINE VALIDATED IN THIS SPACE, SEPA Checklist THISBEECOME§A PERMIT.q� p DATE J)-19-' //OFF ICIALVIiLritots-�� 1 1 1 7•-7.9 0 0 , 9 d * 1 2:0 O a APPROVED FOR ISSUANCE _