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1979, 08-27 Permit: 79-2877 Pool 1 PLAN NUMBER, APPLICATION/PERMIT PERMIT NUMBER SPOKANE COUNTY — BUILDING CODES DEPARTMENT ��~�.Z NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509) 456-3675 DATE _Z 7' 7� APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 4 COPIES 02* *51.00 JOB ADDRESS LEGAL DESCRIPTION — SEE ATTACHED *5 1.0 0 n 1. � 2Y E ISION PARCEL NUMBER/S Y y x *51.00 LOT BLOCK SUBDIVISION 2. IC' 1 cAIAS PARK C-Srii97 .S /� OVVR PHONE E *0.0 0 V 3. tosSpl`l P, RE6eR __171 9076-9031 # 415. Vol— 3aJo 2s7.b� ADDRESS ��, ZIP / Required Set Backs in Feet 4 9 02 V-`—= 974/6 North 35 ISouth [East IWest n08-27-79 CO TRACTOR £ PHONE Size of Parcel Zone Classification.1NGL. y 1 6479. ��x�rk` J�o©i,S ��A«A,� �166s`s1�9 648.�' x �'�i36` _ RAS FAMIL• 4' ADDRESS ZIP c7 yp e oust. cupancy Sprinklered "�TC��LUCc�� ,©Q` ❑Yes ❑No ❑ Req'd. W�a9i y i'nead® Ili . 44©,2b upual W� DESIGNER}��/ Poo lc P�� `"� n9r. ® Building .2c2xArea a Sq. Ft. ^ 5. • © �` vat ZIP D L Area Basement Area Garage Area /�(Storage - ADDRESS .sot rf e.. 990&6 -- __ CHANGE OF USE FROM TO Split Entry Split Level Rancher 6. -- No. Baths No. Floors No. Rooms Rec. Room TYPEM,€W ❑ ALT. ❑ AD'N. ❑ RPL. ❑ MVE. -. ‘......--.. -. -;.... 7. OF �/ ❑ OTHER - CERTIFICATE Req'd. Recd. Not Req'd. WORK CI BLD. ❑ PLMB. CI MECH: ❑ M.H. IEI POOL of EXEMPTION DESCRIBE W,V.ORK i FEES COLLECTED 8. X1( 3.5-- get sw1Mm/N! 6 PGa/ 419,94/6 LUATIIO�N y Source p GAS ELECTRIC,� 9 �,WjAT,ESR ,�gSEWER 9. /�� 1 /O / of /V A IVO /I�"O&f.. VOA) Single $ - ,,,/// Utilities I hereby certify that I have read and examined this application and have read the "NOTICE" provisions included oo on reverse side, and know the same to be true and correct. All provisions of laws and ordinances governing this Building SI-"pc 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 :w regu :ring .nstruction or the performance of construction. Plumbing siii DATE Y /6'-77 SIGNATURE i// �� --""4 ech. SPECIAL APPROVALS SPECIAL CONDITIO'" DEPT. REQ'D. REC'D. Plan Check Env.Health 7 .(/-- �z'71- `y�%/// c:p /7 SEPA cp Planning r _ Mobile Home G7z Fire Marshall Co. Engineer Other (Specify) Utilities TOTAL $ Zone Clearance WHEN MACHINE VALIDATED IN THIS SPACE, SEPA Checklist � �� . THIS BECOMES A PERMIT. DATEF7-79OFFICIAL ' ✓--t-c/ L l L q _. * 1, O I- APPROVED FOR ISSUANCE - _ ` I ! \ � ` ! ` vi / N / ! ' U ` / \// ` \ /�{� 7 ` � '�� ``�_---. __'�-��- . ` / it / / _I � 1 _ (),) L� � ' , .