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1979, 09-26 Permit: 79-4764 ResidencePLAN NUMBER APPLICATION/ PERMIT SPOKANE COUNTY — BUILDING CODES DEPARTMENT NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675 DESCRIBE WORK 'Tp n/„Sitl FEES COLLECTED VALUATION Sooufc GAS ELECTRIC WATER SEWER 9. ��Qk— —]- utilities Single $ I hereby certify that I have read and examined this application and have read the "NOTICE" provisions included '10 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, regulating construction or the Plumbing performance of construction. DATE ©SIGNATUR Mech. SPECIAL APPROVALS SPECIAL CONDITIONS: -rt -7 --e j I Plan Check Env. Health Planning Fire Marshall Co. Engineer Utilities Zone Clearance SEPA Checklist DATE _ OFFICIAL APPROVED FOR ISSUANCE SEPA Mobile Home Other (Specify) L/ U TOTAL $ (J J PERMIT NUMBER DATE 02* *20.00 *2000 N *2000 E *0,00 434,92 09-20-79 ;R 6479, WHEN MACHINE VALIDATED IN THIS SPACE, THIS �B COME A PERMIT. 5 �� 2 6 , 4,76�4Z *20.00 C= . CD I— U - w z APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 4 COPIES JOB ADDRESS LEGAL DESCRIPTION - SEE ATTACHED LOT BLOCK 1 -SUBDIVISION- PARCEL NUMBER/5po R r 2. C. A.4 3r,3 04-K f,- Nl�p�� oM� /sr AZW O NE PHONE /I , 3 ADDRESS ZIP Required Set Backs in Feet �9, e�� North G'/ South , East West &IC NT CTOR PHONE Size of Parcel r Zone Classification. - zl7 g.12 , 4. ADDRESS ZIP Type Const. Occupancy Sprinklered •/-, i - p C?q -?-o / ij ❑Yes ❑No ❑ Req'd. DESIGNER PHONE Valuation Building Area in Sq. Ft. 5. ADDRESS ZIP DWL Area Basement Area GarageAreaStorage CHANGE OF USE FROM TO Split Entry Split Level Rancher 6. X No. Baths No. Floors No. Rooms Rec. Room TYPE NEW El ALT. ElAD'N. EI RPL. ElMVE. 7, OF 1:1BLD. ElPLMB. ElMECH: ❑ M.H. El OTHER ElPOOL CERTIFICATE Req'd. I Recd. Not Req'd. WORK of EXEMPTION DESCRIBE WORK 'Tp n/„Sitl FEES COLLECTED VALUATION Sooufc GAS ELECTRIC WATER SEWER 9. ��Qk— —]- utilities Single $ I hereby certify that I have read and examined this application and have read the "NOTICE" provisions included '10 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, regulating construction or the Plumbing performance of construction. DATE ©SIGNATUR Mech. SPECIAL APPROVALS SPECIAL CONDITIONS: -rt -7 --e j I Plan Check Env. Health Planning Fire Marshall Co. Engineer Utilities Zone Clearance SEPA Checklist DATE _ OFFICIAL APPROVED FOR ISSUANCE SEPA Mobile Home Other (Specify) L/ U TOTAL $ (J J PERMIT NUMBER DATE 02* *20.00 *2000 N *2000 E *0,00 434,92 09-20-79 ;R 6479, WHEN MACHINE VALIDATED IN THIS SPACE, THIS �B COME A PERMIT. 5 �� 2 6 , 4,76�4Z *20.00 C= . CD I— U - w z 912i, 028-1 sib A4, jo 9