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1979, 11-27 Permit: 79-8403 Pole Bldg PLAN NUMBER APPLICATION/PERMIT PERMIT NUMBER SPOKANE COUNTY — BUILDING CODES DEPARTMENT 2y- 8l./ -3 NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509) 456-3675 DATE ll/ APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 4 COPIES 02 * * 5600 J ADDRESS 1 t /521\i /L/& , LEGAL DESCRIPTION — SEE ATTACHED * 5 6 0 0 i ti 04 BLOCK S BDIVISIO PARCEL NUMBER/S l 3 5p—�(p,r, •, * Y 2. .2a2 vdizr c, /zz//af w' %� ,E. ie °cf' eL', /� "f 5b o 0 rR -f� P ONE Gl �o� d ' ,p!/� e�. B * O.O OESS //�' ZI /� Required Set Backs in Feet �] , 8 3 5 4 g 1-6-215-- //�f I. / ��`•-� North 1]`•�C / 'South /5/ East //g 'West-0 1 1 —2 6-7 9 NT RA TtOR � ,- /,v PHONE Size of Parcel Zone Classification Ay, il, ,(/f"5 ,[f1/Lt�d�X�, �(T% LJ/L�d�1/l, �/P Type Const. Occupancy Sprinklered !' _ "/ a'" Q t // : ` _ O�� ❑Yes ❑No ❑ Req d. DESIGNER PHONE al• Building Are in Sq. Ft. 6. tir 5. ADDRESS ZIP OWL Area Basement Area Garage Area Storage CHANGE OF USE FROM TO Split Entry Split Level Rancher 6. No. Baths No. Floors No. Rooms Rec. Room TYPE NEW 0 ALT. 0 AD'N. 0 RPL. 0 MVE. 7, OF ❑ OTHER WORK BLD. 0 PLMB. 0 MECH: 0 M.H. ❑ POOL CERTIFICATE Req'd. Rec'd. Not Req'd. of EXEMPTION 8 `� ,- A ti. J L I/ X 4 'X/O�+ e/y _ ,/ , FEES COLLECTED VALUATION �(/� Source G 7 J� ELECTRICJ( ((f 7WAV" ' SEWER 9#�" �J of /0 / (3 ©0 Utilities Single $ I hereby certify that I have read and examined this application and have read the "NOTICE" provisions included ..-.4,,,047 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 DATE /7"-d(c).- 1q SIGNATURE ' _ _ •C .dMech. SPECIAL APPROVALS SPECIAL CONDIT ONS: DEPT. REQ'D. REC'D. Plan Check Env. Health e SEPA Q Planning — (13a Mobile Home cn Fire Marshall z Co. Engineer Other(Specify) Utilities $ S� Da Zone Clearance WHEN MACHINE VALIDATED IN THIS SPACE, SEPA Checklist //-2 7—-7f THIS BECOMES A PERMIT. a;a 11.44—' 1 1 -2 ,7 '-7 't r' * 5 6. 0 2 DATE OFFICIAL APPROVED FOR ISSUANCE — c;, •„ .5.'".. 2 / U1 no it/ ,..;;:.*:,d..t:7 ,9*,,? '1 -.3 s'f,.3 ti 6 t:/4. F,2•', 14 44 edi) 11 , ..1. _AL ,_ , 1 le 19,4149 y 'w- la J 4:- 1.4) +. ,ii 4.:, 4 alk fli)sfrel -P4cL `, / 3- ,/ - .0 (41:3 ---; t 1 .„ I 1i i $ .., ,-, V.- . --.., ...._ . ... ....k ..,. //. „" o so 00 ''''' 4 k IY) , i