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1979, 12-26 Permit:79-9434 Dryer •0- APPLICATION/PERMIT G PERMIT NUMBER PLAN NUMBER 1 SPOKANE COUNTY — BUILDING CODES DEPARTMENT 71 - ?- 1----4 NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509) 456-3675 DATE 42--02-/-7 APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 4 COPIES c a * * 1 2 0 0 JOB ADDRESS el LEGAL DESCRIPTION - SEE ATTACHED * 1 2.0 0 t-r-) 1. C,.. LOT BLOCK SUBDIVISION PARCEL NUMBER/S * 1 2 00 6 2. OWNER • PHONE * 0.0 C 3. .0 -.2 e4. F •. ,-/--0-4.'L4f.4ri 924-57/7 DDRESS ZIP Required Set Backs in Feet 9 a 3,3,-,7. -3 - , ,:2_,, ..Z,.'--.5 ,,i-da<,,,,i-e---,444.0fri-e-e--- ei':7- -/' North 'South East 'West 1 2-2 6-7 9 CONTRACTOR P ONE Size of Parcel Zone Classification 344444 i-..- R 6 4 7 9, 4. AWDRESS ZIP Type Const. Occupancy Sprinklered Oyes 0No 0 Req'd. DESIGNER PHONE Valuation Building Area in Sq. Ft. 5. ADDRESS ZIP DWL Area Basement Area Garage Area Storage — CHANGE OF USE FROM TO Split Entry Split Level Rancher 6. No. Baths No. Floors No. Rooms Rec. Room TYPE 0 NEW 0 ALT. El AD'N. 1=1 RPL. D MVE. 7. OF 0 OTHER - WORK D BLD. D PLMB. X MECH: 0 M.H. 1=1 POOL CERTIFICATE Req'd. Rec'd. Not Req'd. of EXEMPTION DASCRIBE WOK . * 8. S4)-kf.)4I-.4-ital-f-d--01., W ,L.,T, h,..,g, c ...„,z)z)J 237 0 ) SEWER FEES COLLECTED VALUATION / Source GAS ELECTRIC WATE 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. 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 i,--,, , Plumbing performance of construction. DATE A2 -42/- 7 9 SIGNATeE \‘)/-elia.) C- ' .7#----',.." - Mech. i / 9 --- SPECIAL APPROVALS SPECIAL CONDITIONS: DEPT. REQ'D. RECD. Plan Check .r--4- / .J,5r/1 17/95 Env. Health '-'a .0.4.. cc SEPA p I- Planning (_) - LU 0_ Mobile Home cn Fire Marshall — Co. Engineer Other (Specify) Utilities TOTAL ,1 4 Zone Clearance WHEN MACHINE VALIDATED IN THIS SPACE, SEPA Checklist THIS BECOMES A PERMIT. . DATE OFFICIA LAñ4L 4 & 12 -2 6 -79' 'LI. 5, 4 c. * 1 2, 0 0 a. H APPROVED FOR ISSUANCE - . rmar REMIT NO,. ..�..... .. �=j .�.. _ Ys �. � �l�a'�ti��c��� — ,�. ..._ ..�<_�.....s bene:y ctstiify that: Y QM risking my own gas int installation within my own building endo Further Cerctify that X know how t4 make t f 3 entire installation in compliance with the Gss Code iu well 83 all required tests for tightneast proper input„ etc., or wilt have y' ✓ . �' .L`' ,C 1`: �s4; palm the requirad tests for as upon completion of chis installation cM before final inspection. 1,141.11, Signed and wttneeeed this �...._....� ...-s,....�... day ©f ®,. .e 19'... bot*ry ?ubl c. for the State of tilaabila�rca:a Assiding in Spokane