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1979, 09-27 Permit: 79-4815 ResidencePLAN NUMBER ---� APPLICATION/PERMIT SPOKANE COUNTY — BUILDING CODES DEPARTMENT NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675 ALUATION Source GAS ELECTRIC WATER Sjnudeid 9 d �s of Utilities I hereby certify that I have read and examined this application and have read the "NOTICE" provisio on reverse side, and know the same to be true and correct. All provisions of laws and ordinances gotype of work will be complied with whether specified herein or not. The granting of a permit does nto give authority to violate or cancel the provisions of any other state local law regulating construcperformance of construction.DATE 1 7`% SIGNAT�� SPECIAL APPROVALS SPECIAL CONDITIONS: DEPT. REQ'D. REC'D. Env. Health q /-) Planning Fire Marshall Co. Engineer Utilities Zone Clearance SEPA Checklist DATE / OFFICIAL_ APPROVED FOR ISS N E Single $ Building cJ b tt Plumbing Mech. Plan Check SEPA Mobile Home Other (Specify) FE -Ti MIT NUMBER DATE q—ZZj-:Z j 02* *251,50 *251.50 tn- * B *0.00 C 4 81.4 11 09-27-79 ;P 6479, TOTAL $�F WHEN MACHINE VALIDATED IN THIS SPACE, THIS BECOMES A PERMIT. 0 9- 2 7- T9 4 8 1.5 25* 2' 51 '51 APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 4 COPIES JOB ADDRESS LEGAL DESCRIPTION — SEE ATTACHED LOT I BLO K ISUBDLVIbIL)N _ PARCEL NUMBER/S 2. �� t `PHONE 1--e) 7- WNER 3. 2�'Ve ADDRESSe,--4 ZIP Required Set Backs in Feet 1 �� { r c� Q ! North / ( South ? East .�:. WestL C NTRACT03R PHONE of Pa/cel Zo a Classification 4. zd'u 1 -Size 7�:� /'sem �� 1 ApDRESS jl'y ZIP Type Const. Occupancy prinklered i" ❑Yes ❑ Req'd. DESIGNER PHONE Valuat' n Building A ea in Sq. Ft. 5. �� .tom. ADDRESS ZIP DWL Area/�Barea Garage Area Storage CHANGE OF USE FROM TO Split ntry Split Level Rancher 6. TYPE (� NEW El NEW ❑ AD'N. 1:1 RPL. EJMVE. No. Baths No. Floors No. Rooms Rec. Room 7, OF WORK BLD. ❑ PLMB. ❑ MECH; 11OTHER 1:1M.H. ❑ POOL CERTIFICATE Req'd. Rec'd. Not Req'd. of EXEMP TION 8. DESCRIBE WORiK Q� FEES COLLECTED ALUATION Source GAS ELECTRIC WATER Sjnudeid 9 d �s of Utilities I hereby certify that I have read and examined this application and have read the "NOTICE" provisio on reverse side, and know the same to be true and correct. All provisions of laws and ordinances gotype of work will be complied with whether specified herein or not. The granting of a permit does nto give authority to violate or cancel the provisions of any other state local law regulating construcperformance of construction.DATE 1 7`% SIGNAT�� SPECIAL APPROVALS SPECIAL CONDITIONS: DEPT. REQ'D. REC'D. Env. Health q /-) Planning Fire Marshall Co. Engineer Utilities Zone Clearance SEPA Checklist DATE / OFFICIAL_ APPROVED FOR ISS N E Single $ Building cJ b tt Plumbing Mech. Plan Check SEPA Mobile Home Other (Specify) FE -Ti MIT NUMBER DATE q—ZZj-:Z j 02* *251,50 *251.50 tn- * B *0.00 C 4 81.4 11 09-27-79 ;P 6479, TOTAL $�F WHEN MACHINE VALIDATED IN THIS SPACE, THIS BECOMES A PERMIT. 0 9- 2 7- T9 4 8 1.5 25* 2' 51 '51 GjRCIV"y TNG w �BNG