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1979, 10-23 Permit: 79-6582 Remodel PLAN NUMBER Y APPLICATrO '/PERMIT () PERMIT NUMBER 1 SPOKANE COUNTY — BUILDING CODES DEPARTMENT 65gz NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509) 456-3675 DATE APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 4 COPIES 0 2 * * 6 a 0 0 JOB ADDRESS * 6 8,0 0 n // ( / all-e---. LEGAL DESCRIPTION — SEE ATTACHED a Y LOT I BLOGtK SUBDIVISION ; ® � PARCEL NUMBER/S 5F`--j, /.—I 3/6— *6 0 0 V 2. r S I 3 YI�'1 L—fires i-'i,�1. ,ii-' .75.;1A- Lk.,077.:,..5 L3.(..f(3 B * 0 0 0 0 ONER PHONE 3. b..,i././1 ,t_k_ h_P42 1. 1,1- ";.Z - Ht I'NTA/, E/JEG -:3 Ro ADD 6 5 8, 1 2, ADDRESS ZIP Required Set Backs in Feet �_ //1v2. 1ZrL / //�.t,t„Q, 9=3 4, North (South East West 1 0-23-79 ONTRA TOR © a PHONE Size of Parcel Zone Classification ,� 6479. .d,��_,r ,g, 4ac' ut-6641 if ` - 5:--: �'Yytu�e� 1 ��,�� i�v� 4' ADDRESS ZIP �� y Type Const. Occupancy Sprinklered p., -`" ei..2..:z_ 74/p1,-,1o ,-z. ..,44-11..,,,' st, 9.., f Oyes ❑No ❑ Req'd. DESIGNER PHONE Valuation 1Building Area in Sq. Ft. — 5. ADDRESS ZIP DWL Area I Basement Area Garage Area Storage CHANGE OF USE FROM TO Split Entry aa Split Level jf Rancher 6. L GA.14eAlZi4.� it-'•c._ .b;Lc-,'(.. No. Baths No. Floors Nbb. Rooms Rec. Room TYPE ❑ NEW ❑ ALT. ❑ AD'N. ❑ RPL. ❑ MVE. / .' 7. OF ❑ OTHER CERTIFICATE / - Req'd. Recd. Not Req'd. WORK ❑ BLD. ❑ PLMB. ❑ MECH: ❑ M.H. ❑ POOL ` . / �,, of EXEMPTION `` 8.JD SCRI��BE��WppRKJn �r �� � `` r AA,, �y G:iyli'¢ '—FEES COLLECTED j//Lf.[�C!/LC1 d`j7./[ t�f.V�-'rr/1p`-(J"1/�"� T - .i.,/.74.:. .4.'6.er l �. VA4LUATIONa LJ Source GAS ELECTR C WATER SEWER of 9. ' ,00 _ Utilities Single $ — I hereby certify that I have read and examined this application and have read the "NOTICE" provisions included dv on reverse side, and know the same to be true and correct. All provisions of laws and ordinances governing this Building fo 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. t Plumbing DATE/j--/lr+ — 761 SIGNATURE*Sue. (3L7,AA, iiO* Mech. SPECIAL APPROVALS SPECIAL CONDITIONS: ec,c- -�'- � ,0h' ' DEPT. REQ'D. REC'D. Plan Check - - Env.Health cC -Ci l o/i6/79 SEPA `- ~ Planning — w 3- Mobile Home cn Fire Marshall Z Co. Engineer Other (Specify) Utilities //��77DO 6 TOTAL $ -"'--- Zone Clearance WHEN MACHINE VALIDATED IN THIS SPACE, N.SEPA Checklist ' THISIB CO EISA F_RMIT. , //� a�, .i - .� -4 > Y 65�8, 2z * 68. 004.0 DATE/50-3% OFF AP"iD FOR ISSUANCE