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1979, 11-01 Permit: 79-7129 Mechanical FixturesPLAN NUMBER APPLICATION/ PERMIT SPOKANE COUNTY — BUILDING CODES DEPARTMENT NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675 04* *7,00 *7.0G *7.006 E *a0C 71 2,8;? 1 1 —01 —79 2 6,479, VALUAI IUN PERMIT NUMBER APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 4 COPIES - JOB ADDRESS 9. of utilities X LEGAL DESCRIPTION — SEE ATTACHED 1 LOT BLOCK 1 hereby certify that I have read and examined this application and have read the "NOTICE" provisions included PARCEL NUMBER/S 2. Building ISUIIVISI to give authority to violate or cancel the provisions of any other state or local law regulating construction or the OWNE performance of construction. PHONE 3. 06 DATE SIGNATURE _ Mech. SPECIAL APPROVALS ADD SS ZIP Required Set Backs in Feet Plan Check ° North South East West CONT O Planning P?Ljj0NE Size of Parcel Zone Classification Mobile Home Fire Marshall 4.. Co. Engineer Utilities ADD SS TOTAL $ ZIP Type Const. Occupancy Sprinklered O 2 SEPA Checklist r THIS BECOMjES A PERMIT. 1 ❑Yes ❑No ElReq'd. I. I 1 DESI NER �; _�_ ,. i =' 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 El ALT. ElAD'N. El RPL. ElMVE. No. Baths No. Floors No. Rooms Rec. Room 7, OF WORK ❑ BLD. �I ❑ PLMB. MECH: ❑ M. H. ❑ OTHER ❑ POOL CERTIFICATE Req'd. Recd. Not Req'd. / of EXEMPTION 8 DESCRIBE WORK FEES COLLECTED 04* *7,00 *7.0G *7.006 E *a0C 71 2,8;? 1 1 —01 —79 2 6,479, VALUAI IUN PERMIT NUMBER M - DATE 04* *7,00 *7.0G *7.006 E *a0C 71 2,8;? 1 1 —01 —79 2 6,479, VALUAI IUN Source GAS ELECTRIC WATER SEWER 9. of utilities X Single $ 1 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 +7 0-4 DATE SIGNATURE _ Mech. SPECIAL APPROVALS SPECIAL CONDITIONS: DEPT. REQ'D. RECD. Plan Check Env. Health SEPA Planning Mobile Home Fire Marshall Other (Specify) Co. Engineer Utilities TOTAL $ Zone Clearance WHEN MACHINE VALIDATED IN THIS SPACE, SEPA Checklist r THIS BECOMjES A PERMIT. I. I 1 DATE `" OF - I_ �; _�_ ,. i =' *7.ilno_a