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1979, 11-15 Permit: 79-7864 Residence PLAN NUMBER` APPLICATION/PERMIT PERMIT NUMBER SPOKANE COUNTY — BUILDING CODES DEPARTMENT O7`,"' 7g67 NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509) 456-3675 DATE//-/-5--79 APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 4 COPIES 02 * * 20600 JOB ADDRESS ��;; LEGAL DESCRIPTION — SEE ATTACHED * 2 0`6.0 n 1. .. /...6 ,T/L) q Ti/ (�f,,„(t.. LOT BLOCK SUBDIVISION PARCEL NUMBER/S priv- ‘2.3.6-.44..,=4._-4.19, * 2 0 6 0 0 2. 6 ,64,1-641- s aha A../T e y-5 " O}(1(N•ER PHONE 1�� E * 0.0o 3. f/1`Jr„,,f_t)e -7/140- /-641-e.,<.- q:.24'-g'6&.. V/2 S A ©p 7 ADDRESS z��-Cy� ZIP Required Set�Backs in Feet ! ! I ri 6.2 13 7 I C. ►i/-a ,U ry af.)--e_ ?�'' ./6 North.5e) 'South 7/ East3 (west /d 1 1 — 1 5-7 9 CONTRACTOR PHONE Size of Parcel 2e Classific ion 4' ADDRESS ZIP Type Const. Occupancy S rinklered ..4 /f✓i',14 -- Dyes ❑No 0 Req'd. DESIGNER PHONE Valuation Building Area,in Sq. Ft. e 5' ADDRESS ZIP DpWL Area, Basement rea Garage Area Storage CHANGE OF USE FROM TO Split Entry Split Level Rancher 6. X No. Baths No. Floors No. Rooms Rec. Room TYPE ANEW CI ALT. 0 AD'N. CI RPL. 0 MVE. , 7. OF 171OTHER / / WORK D,BLED. ❑ PLMB. ❑ MECH: 0 M.H. ❑ POOL CERTIFICATE Req'd. Rec'd. Not Req'd. of EXEMPTION y{ D ESC R I B FLvo R KFEES COLLECTED 8. L-C-az-c'.2-,-z-cP VALUATION Source GAS ELECTRIC WATER SEWER 9. c$"D/ 000 Utilities Single $ I hereby certify that I have read and examined this application and have read the "NOTICE" provisions included 4fe DO on reverse side, and know the same to be true and correct. All provisions of laws and ordinances governing this Building .06'— type of work will be complied with whether specified herein or not. The gra ting of a permit does not presume to give authority to violate or cancel the provisions of any other st o oca law re......999ulating c nstruction or the performance of construction. Plumbing ^' DATE //-/-.5-_ 71 SIGNATURE Mech. SPECIAL APPROVALS SPECIAL CONDITIONS: DEPT. REQ'D. REC'D. ^ n Plan Check Env.Health p/�/iy ,,/ 6271„c, ,-( / � �_ /�//S`7 iVtw`� SEPA cp I- Planning — w d. Mobile Home Cr) Fire Marshall Co. Engineer Other (Specify) Utilities .i1/(GrQU TOTAL $ Zone Clearance WHEN MACHINE VALIDATED IN THIS SPACE, SEPA Checklistr11 /�J THIS BECOMES A PERMIT. (� DATE//—A5-- 70fFICIALRAIldi 4Ar l 5 - r 9 1 n J n, t * 2 U 6. `) r a APPROVED FOR ISSUANCE — dr 1/4,1 }. (!)%.Z. tf L 't d o 1. S. / a r \ - --- ' »4,t8 _ ..:_.,1o i j -----7-71- rcri..1:426 't \ -7 i SP•L_.(\,-2 r v r-4, (I,. i e1 � 1 1 r I I I 1 6 , 2.35'`-`1 - pZ.c5a I "' -4 „j f i C1-- , i 1 i r .. l'''''If \ i 9 / k t r i