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1979, 11-21 Permit: 79-8222 Plumbing Fixtures PLAN NUMBER 1 APPLICATION/PERMIT PERMIT NUMBER I SPOKANE COUNTY - BUILDING CODES DEPARTMENT 79—e-2'ZZ NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509) 456-3675 DATE //-2/–7gg APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 4 COPIES JOB ADDRESS 03 * * 3 3.O 01. 16?/D t 9d LEGAL DESCRIPTION — SEE ATTACHED * 3 3 Q Qi t LOT BLOCK SUBDIVISION PARCEL NUMBER/S 2. * 33. 00 : OWNER PHONE E .-73. * C ' ADDRESS ZIP Required Set Backs in Feet 8 2 2 1 North 'South East 'West 1 1 —2 1 -7 9 CONTRACTOR ..-rid- riJi PHONE Size of Parcel Zone Classification 4. Viver'S, r pi— is ?- 6 ' 6,,479. ADDRESS �,r7 ZIP 7? Type Const. Occupancy Sprinklered 457b/ 72 6� v��_ P�N /‘ Valuation ❑Yes ❑No ❑ Req'd. _ Building Area in Sq. Ft. 5. 5174 _ ADDRES ! 1,L), ©x , ZI���/� DWL Area I Basement Area Garage Area Storage — 7c /7(,l� CHANGE OF USE FROM TO Split Entry Split Level Rancher 6. TYPE No.Baths No. Floors No. Rooms Rec. Room NEW ❑ ALT. ❑ AD'N. 0 RPL. ❑ MVE. ], OF ❑ OTHER WORK 0 BLD. 0 PLMB. ❑ MECH: ❑ M.H. 0 POOL CERTIFICATE Req'd. Rec'd. Not Req'd. of EXEMPTION DESCRIBE WORK / )( / 8. ! N �-I-G S 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. Th- • a•ting of a permit does not presume to give authority to violate or cancel the provisions of any other state .r ..Maw r:•. ati g/struction or theC performance f constr ction. Plumbing DATE // /7 47 SIGNATURE i IIID _ t- __ I Mech. SPECIAL APPROVALS SPECT,L 'ONDITIONS: DEPT. REQ'D. REC'D. Plan Check Env.Health Planning SEPA x ••-• C.) w Fire Marshall Mobile Homeco — Co. Engineer Other (Specify) Utilities TOTAL $ C-7V Zone Clearance WHEN MACHINE VALIDATED IN THIS SPACE, SEPA Checklist //-2/- 'f lTHIS BECOMES A PERMIT. DATE OFFICIAL/041k v��Zi�'� 1 `2 1:- / G f �. (_ **: J, 'I 1,i P. .- APPROVED FOR ISSUANCE