1979, 12-14 Permit: 79-9116 Residencel Renewal of M3273PLAN N V Nre E R
APPLICANT:
3.
4.
5.
APPLICATION/ PERMIT
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH BII JEFFERSON / SPOKANE. WASHINGTON 99360 / 15091456-36]5
MtIMRFRFD RPACFB - PRFCS HARD TO MAKF 4 COPIFS
LEGAL DESCRIPTION - SEE ATTACHED
035va-Oco7
❑Ves ®No ❑
TYPE Y NEW ❑ ALT. ❑ AD -N. ❑ RPL. ❑ MVE. y/
7. OF 11 OTHER CERTIFICATE Rep'J. Rec'C. 31 R.p'p.
WORK 11 BLD. ClPLMB. ❑ MECH: EDM.M. 13POOL _«v�uer�nu
FEESCOLLECTEO
8
VALUATION
Sourc. GAS -
j' ELECTRIC
- WATER
SEWER
W W
g.
UNlltles
Single $
I hereby certify that 1 have read and examined this application and have read the "NOTICE" provisions includedp
�f2%
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 r�atigg construction or the
performance of construction. _
Plumbing
DATE 1n- /L --9 SIGNATURE
Mach_
SPECIAL APPROVALS
SPECIAL CONDI ONS:
DEPT- REQ -D. RECD.
Plan Cheek
Env. NW nh ``LL 6
9
SEPA
Planning
Mobile Home
Fire Marshall
.
1
Other lSpecifyl
Co. Engineer
r
U[Iilnes
TOTAL $-.2=
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PERMIT NUMBER
DATE /✓1L-LL-Z�t—
02* *2700
*2700
*27.006
E *000 8
911.52
12-14-79
2 6479,
9?1166 *'22000,'jJ
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