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1979, 07-13 Permit: 79-448 Plumbing Fixtures PLAN NUMBER APPLICATION/PERMIT PERMIT NUMBER SPOKANE COUNTY - BUILDING CODES DEPARTMENT 77 NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509) 456-3675 DATE JI,ILy l3�lq`lq APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 4 COPIES JOB ADD ESS //1yy1�� �pn�Y�w -);r�r� LEGAL DESCRIPTION - SEE ATTACHED LOT OCK SUBDIVISION V PARCEL NUMBER/S 2. 03* * 23.00 OWNER, / _----- t PHONE 3. V. --J40h,wC1? YL . , 47— 9?,g * 2300 V) AD �ESS ZIP Required Set Backs in Feet 4 ,7 "7 , f / :/�/!L//V North 'South East (West CONTRAC :474,,, ,S Size of Parcel Zone Classification 0 7— 1 3—7 9 4. DA/ J ek w//Z /67# ADDRESS / c� Z Type Const. Occupancy Sprinklered 6 4 7 9. 5, 67/5' mL7rd.'/V O1 . (16 ❑Yes No ❑ Req'd. PH NE ���� Valuation Building Area in Sq. Ft. 5. 17) V 2 S(55 .--Y '374, ADDRESSZIP DWL Area I Basement Area Garage Area Storage F 303D 111,'6 ,`Div 9' 1 " CHANGE OF USE FROM TO Split Entry Split Level Rancher 6. No.Baths No. Floors No. Rooms Rec. Room TYPE IVEW ❑ ALT. ❑ AD'N. ❑ RPL. ❑ MVE. 7. OF ❑ OTHER WORK ❑ BLD. APLMB. ❑ MECH: 0 M.H. ❑ POOL CERTIFICATE Req'd. Rec'd. Not Req'd. of EXEMPTION DESOBIBE WORK c?8 c i x-}` iki-e ,s FEES COLLECTED \LUATION Source P` GASELECTRIC 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 aws and ordinances governing this Building type of work will be complied with whether specified herein or not. T • :n ing of a permit does not presume 'J'��.�s to give authority to violate or cancel the provisions of any other state . . al law rlati co truction or the ! performance of construction. / Plumbing , ` DATE 7f" 13'^79 SIGNATURE � L at — Mech. SPECIAL APPROVALS SPECIAL ' • •ITIONS: DEPT. REQ'D. REC'D. Plan Check Env.Health cc SEPA o U Planning w a Mobile Home Fire Marshall z Co. Engineer Other (Specify) l Utilities *� ,q,,-)TOTAL $ .V4/ Zone Clearance WHEN MACHINE VALIDATED IN THIS SPACE, nn SEPA Checklist THIS BECOMES A PERMIT. 4, 8 z * �� U �, a_ E DATE OFFICIAL _ ll / 1. / / 7 APPROVED FOR ISSUANCE