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1979, 07-31 Permit: 79-1312 MH PLAN NUMBER APPLICATION/PERMIT PERMIT NUMBER SPOKANE COUNTY - BUILDING CODES DEPARTMENT NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509) 456-3675 DATE APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 4 COPIES 07* * 4000 JOB ADDRESS 1 re, 6 L ze4 LEGAL DESCRIPTION - SEE ATTACHED * 4 0 0 0 N 2 /L/OT BLOCK SUBDIV SION PARCEL NUMBER/S 19' ' — I, I * 4 0,0 0 v O ` P ONE A *0,00 V 3. �t 71.( 1_ � 7 `-t-'4:,�1 6 /110 _ 1 3 1. 1 R ADD SS ( ZIP, /_ -RequiredSetBacks in Feet �(�}/% Z f1 ,...e. fur- 7:. ,4-L.(,i-k4f 1` ".✓GLteh,(24 / 9 ))L7 North ?© 'South 670 East "i J (west 10 07-31 -79 CONTRACTOR PHONE Size of Parcel Zone Classific ti n X I 6 gam✓ •#. 2 6.479. 4' ADDRESS ZIP Type Const. Occupancy Sprinklered Oyes ❑No ❑ Req'd. DESIGNER PHONE Valuation Building Area lFt. 5. ADDRESS ZIP DWL Area Basement Area Garage Area C Storage — CHANGE OF USE FROM TO Split Entry Split Level Rancher 6. TYPE No. Baths No. Floors No. Rooms Rec. Room NEW ❑ ALT. ❑ AD'N. ❑ RPL. ❑ MVE. 7. OF ❑ OTHER - CERTIFICATE Req'd. Recd. Not Req'd. WORK El BLD. I=1 PLMB. ElMECH: M.H.X ❑ POOL of EXEMPTION DESCRIBE WORK $ FEES COLLECTED VALUATION Source GAS ELECTRIC WATER SEWER 1 of // //��' /f� G 9. /O�e)CiC?,'� Utilities 4�' elK)'i/ ! � ICl7J'1)VI 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 performance of construction. Plumbing DATE 9- 3i - ? SIGNATURI-. s /-'. 4c-' Mech. SPECIAL APPROVALS SPEC!' ONDITIONS: DEPT. REQ'D. REC'D. Plan Check Env. Hear/lat./9 cD cc 7/ f(75- SEPA Planning _00 _ w 2 CO Fire Marshall Mobile Home Co. Engineer A Other (Specify) Utilities TOTAL $ Zone Clearance WHEN MACHINE VALIDATED IN THIS SPACE, SEPA Checklist THIS B COMES A PERMIT. DATE? ���1 OFF AL 1 —1` GZ..^---n 0 / J 1 / / ci J. 7 i• n z * Y 0. 0 APPRI r • FOR ISSUANCE . . ` 4 , ... -- A � J• 4 . //-74//0 4.- �- �` JIM L'.;r ?r;l • ,` \1 L (,,c ii.. ....; ,_ . .iJ2 a ,,,, \ 4 t _%-,, ; 4„4,1,..triet., ) )8' 17) 1- 3m- 19 `-'7 si 41 , v . -- iN. : i -7(Th 1 i<o-I / 0 g t� /'arc e , i'95-3-z — /9./.? c2. /.D, # 1? 4 a' a ,M o s 1J) W ,P / w,- ,'i' , \is ail " • wATER — — — I i \ 70,8 fjt4ri. I i 7J0 7 56I ') i\ik i • 1 greACA-1")-4.1 k qi1 i –1 .1_11?-.,...a) ,.1 . /i ' —2 It I 1