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1979, 12-10 Permit: 79-8881 AdditionC� PERMIT Ri/MBEa,2'�i � � DATE v" L'S'i ,�, ��AD'N. 1:1 RPL. 1-1 MVE. TYPE El NEW ❑ALT. I!.} No. Baths No. Floors No. Rooms PLAN NUMBER 7• OF ❑ OTHER APPLICATION/ PERMIT CERTIFICATE SPOKANE COUNTY - BUILDING CODES DEPARTMENT Rec'd. Not Req'd. ❑ BLD. ❑ PLMB. ❑ MECH: ❑ M.H. El NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675 WORK APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 4 COPIES JOB ADDRESS S 7614���CL) LEGAL DESCRIPTION — SEE ATTACHED 1. :j 5`01 v � c� l� y4S'1t ALU TI9 Source LO BLOCK SU N SEWER PARCEL NUMBER/S 2. of Utilities QD,IV�I�S,II F VlT ' cc),e '/ r OR PHONE/ 3. ?An7nt G 141 on reverse side, and know the same to be true and correct. All provisions of laws and ordinances governing this Building" Y,511— / 'Y' type of work will be complied with whether specified herein or not. Th nting of a permit does sume ADDRESS to give authority to violate or cancel the provisions of any other st or loc I law regulating con ction,,or the ZIP Required Set Backs in Feet performance of construction. ;l 3��0-'� `/J / t t�f-2%'! DATE 9 — / J ' 71 SIGNATUR C ��� - North �� / South©/ East West CONTFfACTOR SPECIAL APPROVALS SPECIAL CONDITIONS: PHONE Size of Parcel Zone Classification Plan Check Env. Health ! ­7 SEPA ADDRESS ZIP4. Type Const. Occupancy Sprinklered Other (Specify) Utilities r� �U V— TOTAL []Yes []No ❑ Req'd. Zone Clearance DESIGNER Q� PHONE Valuation Building Area in Sq. Ft. 5. 2` w w ,� sY 3 ov - 0 ADDRESS ZIP OWL Area Basement Area Garage Area Storage Q 7 CHANGE OF USE FROM TO Split Entry Split Level Rancher 6. C� PERMIT Ri/MBEa,2'�i � � DATE v" L'S'i ,�, ��AD'N. 1:1 RPL. 1-1 MVE. TYPE El NEW ❑ALT. I!.} No. Baths No. Floors No. Rooms Rec. Room 7• OF ❑ OTHER CERTIFICATE Req'd. Rec'd. Not Req'd. ❑ BLD. ❑ PLMB. ❑ MECH: ❑ M.H. El WORK of EXEMPTION DES/GIBE WORK FEES COLLECTED 8 ( t i f .r / -� �+4rCiZ ALU TI9 Source GAS ELECTRIC WATER SEWER (� 9. e949 of 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. Th nting of a permit does sume to give authority to violate or cancel the provisions of any other st or loc I law regulating con ction,,or the performance of construction. ;l Plumbing DATE 9 — / J ' 71 SIGNATUR Mech. SPECIAL APPROVALS SPECIAL CONDITIONS: DEPT. REQ'D. REC'D. Plan Check Env. Health ! ­7 SEPA Planning Fire Marshall Mobile Home Co. Engineer Other (Specify) Utilities r� �U TOTAL Zone Clearance Q� WHEN MACHINE VALIDATED IN THIS SPACE, SEPA Checklist TM1�S THIS BECOMES A PERMIT. 2` w w ,� DATE FFICIAL - 0 1 n 7 n n n. r p cc T00, i i •fE----- Ide l 5 s'unlc✓Ow�/