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1979, 12-20 Permit: 79-9384 Residence PLAN %"NCI. 471 APPLICA1 iuI., r'ERMIT PERMIT NUMBER SPOKANE COUNTY BUILDING CODES DEPARTMENT77— `I NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509) 456-3675 DATE APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 4 COPIES r JOB ADDRESS `}2 * * 93,` 0 1. , IV 72V- .--rKmLJ6 LEGAL DESCRIPTION — SEE ATTACHED x 9 a 5 0 LOT B OCK S BDIVISION PARCEL NUMBER/S � 2. 3 �' ,I Y' m prrat-1 p rs2- - 01 7 * 9 3.5 0 OWNER i i I w_ CO, PHONE B * O. 0 0 9 3. 1 N �1 I O1 , 91-315811- i AD RE,..nnAS Q�T��,� ZI /—S/ Required Set Backslin Feet"2 9 3 8.3 �s V� I/(1� I /t��© North 40 `South Alik East 40 (West 40 CONTRACTORpPHONE Size of Parcel Zo e Classificati 1 2—2 0—7 9 4. gMv x I4 ' . , 6479, ADDRESS ZIP Ty,,YY//''7R�onst. Occupancy Sprinklered .' ❑Yes ❑No ❑ Req'd. DESIGNER PHONE Valuation Building Area in Sq. Ft. CY-, ---- 5. ADDRESS ZIP 1:� A-ea I Basement Area G5ge rea Storage — CHANGE OF USE FROM TO I Split Entry Split Level Rancher 6. ,�,I No. Baths No. Floors No.5oms Rec. Room TYPE lId NEW ❑ ALT. ❑ AD'N. ❑ RPL. ❑ MVE. 7. OF ❑ OTHER WORK BLD. ❑ PLMB. ❑ MECH. ❑ M.H. ❑ POOL CERTIFICATE Req'd. Rec'd. Not Req'd. of EXEMPTION DE CRI E WOR FEES COLLECTED 8. -''A��I,� �ct�Ll EX vALuitrioN S/� Uource GAS ELECTRIC W WATER , .SEWER , Single $ 9. /l`C//" I t�V,9 of L// L'lif9[nJ p�/�f9II II/v Utilities I hereby certify that I have read and examined this application and have read the "NOTICE" provisions included 92 �, — on reverse side, and know the same to be true and correct. All provisions of laws and ordinances governing this Building J 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 reg 'king construction or the performance of construction. y Plumbing DATE ,` . !. C' /G SIGNATUFtf 4:,,�,(.c,, _),_A .&-----51 Mech. ' SPECIAL'' APPROVALS SPECIAL CONDITIONS: DEPT. REQ'D. REC'D. E:- �% / �/ g Plan Check Env.Health y , • a 2712C:C-,/TGciGC- .+'�`.'L.;LLe Ce -i_._e )C<;L✓ cc 7,- � 7fL+ 7 fSEPA oPlanning �// W 0 Mobile Home Fire Marshall — Co. Engineer Other (Specify) Utilities TOTAL $ Zone Clearance WHEN MACHINE VALIDATED IN THIS SPACE, SEPA Checklist (. THIS BECOMES A PE MIT. 9'3 8.!I i' * 93,5,0 ? Dri-ATE i /�,fi � /. / • 12-2:'Q,-'7. 0 `t DATE d7`3 7-?',/ OFF!CIALJrkfilt.4(._r J' ;"N�;T:1 APPROVED FOR ISSUANCE J & H FRAMING COMPANY P. O. Box 168 - Rockford, Wash. 99080 le-------- --- -- wig'-551 . , vp--- . .______. ______ 1, 1 ,, 5 PeUey A fJthilor, w 1 E-• 1 w 5-2 P \ , 52 ' i ki R 52' -,2 ,,r ___ t), ,______ 2 4 .-------4—_R,2'______if , a '% a u T , , _44 q, v of i k. 90 6 P4 C° / '-- � yo 1 I - ' go'--4-1 S►aewatk 1 :• a t '1/41k 1 ti SPR{GG & E