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1979, 11-26 Permit: P79-8319 Water SoftnerPLAN NUMBER APPLICATION/PERMIT SPOKANE COUNTY - BUILDING CODES DEPARTMENT NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675 APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 4 COPIES JOB ADDRESS 1. 2. 3. LOT 70 N0- BLOCK UBDIVISIO LEGAL DESCRIPTION - SEE ATTACHED OWNE dLt PHONE PARCEL NUMBER/S ADDRESS ZIP Required Set Backs in Feet North 1South [East (West 4. 5. CO ACTOR AD AD��DI1RESS DESIGNER PHONE cf CC—(17.S7) ZIP q �f ZO2 PHONE Size of Parcel I Zone Classification Type Const. Occupancy Sprinklered ❑Yes ❑No ❑ Req'd. Valuation (Building Area in Sq. Ft. ADDRESS ZIP DWL Area Basement Area r Garage Area Storage CHANGE OF USE FROM 6. TYPE 7. OF WORK TO Split Entry Split Level Rancher ❑ NEW ❑ BLD. ❑ ALT. ❑ PLMB. ❑ AD'N. ❑ MECH: ❑ RPL. O M.H. O MVE. O POOL 0 OTHER No. Baths No. Floors No. Rooms Rec. Room il CERTIFICATE Req'd. of EXEMPTION Rec'd. Not Req'd. DESCR BS�E//`` WORK 8. ` VALUATIO ~ 9. Srce of Utilities GAS ELECTRIC WATER SEWER 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 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. DATE SIGNATURE DEPT. SPECIAL APPROVALS REQ'D. RECD. Env. Health Planning Fire Marshall Co. Engineer Utilities Zone Clearance SEPA Checklist SPECIAL CONDITIONS: DATE ii/Z6l7 OFFICIAL FEES COLLECTED Single $ Building Plumbing Mech. Plan Check SEPA Mobile Home Other (Specify) 0-6 TOTAL $ c7 PERMIT NUMBER lit_ 3 i 9 DATE 03* *3,00 *3.00 *3006 B *0.00 0 831.82 11-26-79 2 6.479. WHEN MACHINE VALIDATED IN THIS SPACE, THIS BECOMES A PERMIT. 1 —2 it -7 31.9 X3,0 0 ° I 1\I QD COTl1D