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1979, 08-14 Permit: 79-2143 Demo Residence APPLICATION/PERMIT PERMIT NUMBER I PLAN NUMBER I 'S/4,3 I I � SPOKANE COUNTY — BUILDING CODES DEPARTMENT NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509) 456-3675 DATE _ i4/1l APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 4 COPIES 0 2 * * 5.0 0 * 5.00 JOB ADDRESS ,t"y/ -y {'n LEGAL DESCRIPTION — SEE ATTACHED * 5:0 0 1. , % G'B BLOCK / IV i� ifG PARCEL NUMBER/S -9/so—#,— o 6, / LOT (SUBDIVISION E * 0 0 0 C7 ,c 1<573.;3 4".>' �..E�S .ebur ,��.�,/7 2. ^ PHONE ,y t� NER -yy- Li ,9� �1 �/�Al/.T✓� 2 2 3 ADDRESS ZIP Required Set Backs in Feet 0 8 1 4—7 9 fi ` TOG j ie Q r k �9, North 'South East West 0 6 4 7 9. 7 PHONE Size of Parcel Zone Classification C NTRACT R (�-1 y. " •-yes . , t..�1: ..ADDRESS� Type Const. Occupancy Sprinklered 4' /) ZIP �/� y g� ❑Yes ❑No 0 Req'd. L DESIGNER ��� J l� PHONE Valuation Building Area in Sq. Ft. 7,:)—‘) / 5. ZIP DWL Area Basement Area Garage Area Storage ADDRESS f I I ��SU CHANGE OF USE FROM ITO Split Entry I Split Level I Rancher 6. No. Baths I No. Floors J I No. Rooms I Rec. Room TYPE 0 NEW 0 ALT. 0 AD'N. 0 RPL. ❑ MVE. 7. OF , OTHER CERTIFICATE Req'd. I Recd. rot Req'd. WORK 0 BLD. 0 PLMB. 0 MECH: ❑ M.H. ❑ POOL ai-4d1.44- of EXEMPTION X. i DESCRIBE WORK , 8. 1_ C:i-W e-/- 1?-g4.-G,664'461.' FEES COLLECTED VALUATION Source GAS ELECTRIC WATER I 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 to give authority to violate or cancel the provisions of any other state or local law regulating construction or the Plumbing performance of construction. ve„..6.4._" DATE g—'/'`� — 7 SIGNATURE ,��}LA1.)-4^uk-.) C-0--' / Mech. SPECIAL APPROVALS SPECIAL CONDITIONS: Plan Check DEPT. REQ'D. REC'D. C Env.Health SEPA c L C Planning . Mobile Home . Fire Marshall Other(S�pec ) Co. Engineer Utilities TOTAL $ c.)" Zone Clearance WHEN MACHINE VALIDATED IN THIS SPACE, THIS BECOMES A PERMIT. Z n47 * 5.002 4' oO t SEPA Checklist O u -14 -7 i , z DATE OFFICIAL APPROVED FOR ISSUANCE