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1979, 09-13 Permit: 79-3946 Addition PLAN NUMBER APPLICATION/PERMIT PERMITNUMBR q I SPOKANE COUNTY — BUILDING CODES DEPARTMENT 1J`�I /J 7 NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509) 456-3675 DATE APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 4 COPIES 02 * * 31.0 0 JOB P. I-ADDRESS 1. LEGAL DESCRIPTION — SEE ATTACHED * 31.0 0 n LOT BLOCK SUBDIVISION PARCEL NUMBER/S ( * 31.006 2. 9- �e2r, %tr-i A� �I dl�' �Q 1 °r •a q * C8 h► 3 - Fi �f N ,z ��iyll-or'/r' A 0 0 0 OWNER `� PHONE ,�. 1 IA, +5' of V' 13,1 orH, ✓" Of Lor s. RES 1 31G62 ADDRE Cf ZIP Required Set Backs in Feeetti I ADD,RE -1 Nw North (South . East (West 08-2 9-7 9 CONTRACTOR PHONE Size of ParcelZo e Classification <QNNVi0 2-9.(-45 `20 c 77 , it IC- 2 6479, 4' ADDRESS L� /�, ,{/�f,11�'j� ZII9P�-- /moi f�1 Type Const. Occupancy Sprinklered I� o. { ,.) ‹ 1V-7 o1rol<1 1, i 0 ❑Yes ❑No ❑ Req'd. DESIGNER 1� (� PHONE Valuation Buildings Arin ea Ft. 5. ADDRESS ZIP DWL Area I Basement Area( Garage Area I Storage IT✓ 2— CHANGE OF USE FROM TO Split Entry Split Level Rancher 6. I No. Baths No. Floors No. Rooms Rec. Room TYPE ❑ NEW ❑ ALT. AD'N. ❑ RPL. ❑ MVE. 7. OF / ❑ OTHER [ice B WORK LD. ❑ PLMB. ❑ MECH: ❑ M.H. ❑ POOL CERTIFICATE Req'd. Rec'd. Not Req'd. of EXEMPTION DESC IBE WORK 8. .`'JI I/01 Niel el C /A r 16?1 0 Ki FEES COLLECTED VALUATION Source Source 0� GAS ELECT C COWAN. SEWER 9. Ij. 000 of Util ties v�vl U� -�� Single $ — I hereby' certify that I have read and examined this application and have read the .OTICE" .revisions included ��J on reverse side, and know the same to be true and correct. All provisions of I.07 and or. ances governing this Building l type of work will be complied with whether specified herein or not. The gr-. .ng of a .•r' it does not presume to give authority to violate or cancel the provisions of any other state or .c• law reg . ing construction or the performance of construction. Plumbing DATE 2-9+7 ? SIGNATURE !� Mech. SPECIAL APPROVALS SPEC( ✓L COND T S;,7 �i� ��_�L DEPT. REQ'D. RECD. Kr.K i C,�fT,/ Gz���,-j Plan Check Env.Health r' , (/v ;r PA_Zeilo 9/7/ 7'i `ri�I � -tG- v �1 SEPA Planning iorlft -roI� (moi i I ] , HA I — v Fire Marshall V_ tJ I L4 i . `+�tiw� 1 { v Mobile Home �`n Co. Engineer 4tlL r M►'i' 1Z) OAT O`Z Other(Specify) Utilities TOTAL $ Zone Clearance WHEN MACHINE VALIDATED IN THIS SPACE, SEPA Checklist THIS B�FrErS A//,P RMIT. UT J JJ 39465 * 31. 00 ° DATE OFFICIAL APPROVED FOR ISSUANCE — , -* 7.,, ',„:"*.`,7i,!"'-'•"i'„, '4 . '' 44 - , - , i . . . • 1%•et A . ... r :: .7••• .."" " . . . . _ ,` , ' • I. . '1'l•rf7f.• 4.4(If,t' 74.,*'‘',s4''•'. *•4,,'0 ' '" • '` ', , 4' • . , 44"-, A ' -,,.' .41,144:r•", lillt . . 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