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1979, 07-26 Permit: 79-1059 Plumbing Fixtures ''LAN NUMBER APPLICATION/PERMITp PERMIT NUMBER I 79-16 c9 SPOKANE COUNTY — BUILDING CODES DEPARTMENT NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509) 456-3675 DATE APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 4 COPIES JOB ADDRESS /// (��� /�/JI LEGAL DESCRIPTION — SEE ATTACHED 1. i t LOT BLOCK SUBDIVISION PARCEL PARCEL NUMBER/S 2. OWNER . h ` PHONE 3. (v. K p t,t.,-S 5 -6-7rjl® _ _ 0 3 * * 48.0 0 ADDRESS J ZIP Required Set Backs in Feet E /,E . 5709 Zig; 9g/1Q� North 'SouthEast (West * 4 a 0 0 ,_ CONTRACTOR PHONE Size of Parcel Zone Classification p * 4 a 0 0 U 4' ADDRESS ZIP Type Const. Occupancy Sprinklered B * Q 0 0 c-) ❑Yes ❑No ❑ Req'd. O [3CD19NCR �� PHONE Valuation Building Area in Sq. Ft. 1 0 5 8 2 P v X33`--f rx 5. ADDRESS D © ��� ZIP DWL Area I Basement Area Garage Area Storage 0 7-2 b-7 9 q`. 2 6479, x / CHANGE OF USE FROM TO Split Entry Split Level Rancher 6. ,�,/r CINo.Baths No. Floors No. Rooms Rec. Room TYPE r:4EW ❑ ALT. AD'N. ❑ RPL. 0 MVE. 7, OF IlIIIpppp����r ❑ OTHER WORK ❑ BLD. KPLMB. ❑ MECH: 0 M.H. 0 POOL CERTIFICATE Req'd. Rec'd. Not Req'd. of EXEMPTION DESCRIBE WORK 8. a f /i?C414.1—"C' ..4c FEES COLLECTED VALUATION Source GAS ELECTRIC 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 • I : s and ordinances governing this Building type of work will be complied with whether specified herein or not. The ora, i • of a permit does not presume to give authority to violate or cancel the provisions of any other state or loc.( la reg Ing ons uction or the performance of construction. 1 Plumbing DATE SIGNATURE_ fir LII -I Mech. SPECIAL APPROVALS SPECIAL Cfl NOTIONS: DEPT. REQ'D. REC'D. Plan Check Env. Health r SEPA ,:j Planning ::