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1979, 07-27 Permit: 79-1175 Renewal-ResidenceELAN 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 4th AVENUE, E. 15706 LEGAL DESCRIPTION — SEE ATTACHED 1 LOT I BLOCK SUBDIVISION PARCEL NUMBER/S 24542-9036 2. The W. 130' of WZ of WZ of NE4 of SW4 OWNER PHONE 3 BERT M. MORRIS 922-4819 nf NWI nf 24-25-44 ADDRESS ZIP Required Set Backs in Feet SAME VERADALE 99037 iSouth North East west CONTRACTOR PHONE Size of Parcel Zone Classification M 1 A ricultural 4 ADDRESS ZIP Type Const.�640 Occupancy Sprinklered ❑Yes [:]No ❑ Req'd. DESIGNER PHONE Valuation Building Area in Sq. Ft. -------------- 1530 5. ADDRESS ZIP DWL Area Basement Area Garage Area Storage CHANGE OFUSE FROM TO Split Entry Split Level ancher 1 tory 6 No. Baths No. Floors No. Rooms Rec. Room TYPE ❑ NEW ❑ ALT. ❑ AD'N. ❑ RPL. ❑ MVE. -1 2 1 6 7, OF I ❑ PLMB. ❑ MECH: OTHER ❑ M.H. ❑ POOL CERTIFICATE Req'd. Recd. Not Req'd. WORK -BLD. of EXEMPTION DESCRIBE WORK 8. RENEWAL OF RESIDENCE FEES COLLECTED VALUATION Source GAS ELECTRIC WATER SEWER of 9, Utilities Single $ 1 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 20.00 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 SIGNATURE Mech. SPECIAL APPROVALS SPECIAL CONDITIONS: DEPT. REQ'D. RECD. Plan Check Env. Health RENEWAL OF M. 7298 2 Fee SEPA Planning Fire Marshall Co. Engineer Utilities Zone Clearance SEPA Checklist Mobile Home Other (Specify) fid r ay $ 20.00 PERMIT NUMBER DATE 71 1y� 279 1279 02 *20.00 *2000 t5 *2000 B *000 00 1 1 7.42 07-27-79 ;R 6479, WHEN MACHINE VALIDATED IN THIS SPACE, /) THIS BECOMES A PERMIT. 7 DATEf�/� OFFI '1 0 1 — 2 7 �� 7% Z 5 z Annnrrn r _nn IOPIIAAInC *.20.00°1- C C F C L C 6 y OF INSPECTIONS �r i I _-._---_.._ -____. __a_._ i I i i i_ i I I X k 0 0, 0 'N• r'Mif, No" ��r 72R '.9mCNIPT 1j.0" 9 F ra r.^� A7 FLSH1HGTOHs COUNTY OF SPOKANE � T,� (qdI' V7l 1-j ,_.:�..,�._�.` . �_ �.. II= � r�.inq. �;I; ��+ u'jj0 depe o*6 and sayag by virtwure of, Parmit izinrail y thG County i , Idingodes DcpnI-:t: tez, Inspection Divivion, is to be sone by myself, ov by dna.;; lican5ed 2,21�:sb�ers S:ssbaess, Sabsc&ibed and sworn to bsoor~ : --3 � da' of ,._. / NO, ary Public Mtleai�� Sdffite ®ff' Saa�dtiug�cna C ,. I am the c;=er v,>a t,bs buildingg l.mm—ya. as No,,�— E-, 1570(o in the Count; of Spokane, and tbt wort zu ::.r: &"a en Said premizcna uadc , and by virtwure of, Parmit izinrail y thG County i , Idingodes DcpnI-:t: tez, Inspection Divivion, is to be sone by myself, ov by dna.;; lican5ed 2,21�:sb�ers S:ssbaess, Sabsc&ibed and sworn to bsoor~ : --3 � da' of ,._. / NO, ary Public Mtleai�� Sdffite ®ff' Saa�dtiug�cna C ,.