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1979, 11-07 Permit: 79-7416 Plumbing Fixtures
PLAN NUMBER - APPLICATION/PERMIT PERMIT NUMBER SPOKANE COUNTY - BUILDING CODES DEPARTMENT 79 � NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509) 456-3675 DATE/1—'C' — 79 APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 4 COPIES 03 * * 35,50 JOB A 1/ 7 ,," �Z r� LEGAL DESCRIPTION - SEE ATTACHED * 3 55 5 0,� 1. / * 3550 LOT BLOCK SUBDIVISION PARCEL NUMBER/S B *, O,50 O O 2. OWNER ��yy ' PHONE / 4 1.5 2I 3. ADDRESS N [`/'" ZIP Required Set Backs in Feet 1 I '-O 7— /�7 n 7 North (SouthEast (West 2 6 4 7 9, CO TRACTOR • PHONE Size of Parcel Zone Classification 4' ADDRESS Type Const. Occupancy Sprinklered /S7C � k/ -4j r72© 6 ❑Yes ❑No ❑ Req'd. DESIGNER PHONE Valuation Building Area in Sq. Ft. 5' ADDRESS ZIP DWL 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 17 NEW ❑ ALT. ❑ AD'N. ❑ RPL. ❑ MVE. 7, OF „---,,�� ❑ OTHER WORK Er BLD. L�J'PLMB. ❑ c MECH. ❑ M.H. ❑ POOL CERTIFICATE Req'd. Red. Not Req'd. %� of EXEMPTION DESCRIBE'NO �` -Z✓1��'�t�f 8. / / ; ,J yt``/A' 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 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 y��0- / a to give authority to violate or cancel the provisions of any other state or lo aw regulating c struction or the ��ff"" �-_' performance of construction. Plumbing DATE /d� V' 77 SIGNATURE -„ esyej V Mech. SPECIAL APPROVALS SPECIAL CONDITIONS: DEPT. REQ'D. RECD. Plan Check Env.Health ❑ SEPA C I- Planning _ L o Mobile Home 0 Fire Marshall 2 Co. Engineer Other(Specify) Utilities6-4— TOTAL $ Zone Clearance WHEN MACHINE VALIDATED IN THIS SPACE, `,Yf)3�SEPA Checklist ei JT�/ ��/n•� Y./ J/�.1 ? THISBECOMESA'PERMIT. �”' a '""l. ..c.�'...LCXr� /�/4 DATE/ —79 OFFICIALi 1 l- 7.�/��9 7 41.6 z *:.3;5.:5. 2.0I r APPROVED FOR ISSUANCE