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1979, 07-26 Permit: 79-1109 Deck
(PLAN NUMBER APPLICATION/PERMIT PERMIT NUMBER j 9- Iloq SPOKANE COUNTY — BUILDING CODES DEPARTMENT NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509) 456-3675 DATE J(A9/ 7.4) l � y`t`� APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 4 COPIES 02 * * 10.00 JOB ADDRESS LEGAL DESCRIPTION - SEE ATTACHED * 10,00 1. S. 3o©7 Wo pLAWN LOT BLOCK SUBDIVISION PARCEL NUMBER/S 275_43 /(o 0; * 1 0 0 0 v 2. / /Li- /-/ILL. yiF_1A/ ES'IA 1�� �, OWNER PHONE B *0 0 0 8 3. Jo.5 f} c_ RIEN 924- 75,6 ADDRESS ZIP q Required Set Backs in Feet 1 1 0 8 1 s S . 3o07 w0DOL-AIr�N, _SPox.A4'JF. /Leri North'?-(O 'South 7 ' East 5 7 I 'West £9 I 0 7-'2 6-7 9 CONTRACTOR PHONE Size of Parcel Zone Classification 4. -s 1v1 85 X 130` sIINCiLE FAM ILy P,Es g 6 4 7 9, ADDRESS ZIP Type Const. Occupancy Sprinklered Oyes ❑No ❑ Req'd. DESIGNER PHONE Valuation Building Area in Sq. Ft. 00 5. 5'00%.. SO' ADDRESS ZIP DWL Area I 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 ❑ ALT. ®---AD'N. ❑ RPL. ❑ MVE. -- 7, OF / YOTHER WORK lt" D. ❑ PLMB. ❑ MECH: E M.H. ❑ POOLCERTIFICATE Req'd. Rec'd. Not Req'd. of EXEMPTION L-' DESCRIBE WORK FEES COLLECTED 8. Appr rioN of DE LJC lb F:X/S-n tq RFS1VENcE- VALUATION Source GAS ELECTRIC WATER SEWER "7500 of 9. � Utilities f`X%ST">'NQ Single $ I hereby certify that I have read and examined this application and have read the "NOTICE" provisions included O4 — on reverse side, and know the same to be true and correct. All provisions of laws and ordinances governing this Building ''%/0x't type of work will be complied with whether specified herein or not. The granting of a ermit does not presume to give authority to violate or cancel the provisions of any • •• state or local aw regu ti g construction or the performan a of construction. Plumbing DATE 7/ /77 SIGNATMech. SPECIAL APPROVALS SP IAL '0 •ITIONS:. DEPT_ REQ'D. REC'D. Plan Check PLANS o,� 7_►8-7 � /1://7-_-,-,1_Env. Health � fi 7/.x�`'�7j SEPA F- / Planning vw — 0 Mobile Home Fire Marshall i Co. Engineer Other (Specify) Utilities TOTAL $ /0 IX Zone Clearance WHEN MACHINE VALIDATED IN THIS SPACE, SEPA Checklist THIS BECOMES A PERMIT. DATE-7-24-7/ OFFICIALat.)t �/y�`�✓"'� /6 0(� 7 - 2 6 - 7 9 i 1 ft 9 * 1 0, 0 0 1 �- _ APPROVED FOR ISSUANCE IES '41.1/ p /yam /71.6 — AESiD£NGE- 427 /4(' rRoro spa AEc 3 l 0 0 0