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1979, 10-15 Permit: 79-5988 Residence
PLAN NUMBER ...1...e0V APPLICATION/PERMIT SPOKANE COUNTY — BUILDING CODES DEPARTMENT NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675 JOB ADDRESS 1. !7 LQT 2. C(// 3. 15 I/IC�©L) ---tre e. -7t okJ APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 4 COPIES B O (.- IIQo4) SUBDIVISION / 4 //C_69ne7 —Z -- LEGAL DESCRIPTION - SEE ATTACHED 4. 5. 6. ADDRESS 5 22)6 lLJVAlz CONTRACTOR ith9NE- ie PARCEL NUMBER/S 33 6—_,1 / _ Cf 3 ZIP q 3 '7 PHONE Required SetBacks in Feet North 3 6)i 'South 8 2- [East wS� 'West /7 Size o Parcel ADDRESS DESIGNER ADDRESS ZIP X/4U Tyge Coast. Zone Classification O cc u p4cy PHONE CHANGE OF USE FROM ZIP Valuati n �; )2.0 TO Sprinklered ❑Yes o ❑ Req'd. Building Area in Sq. Ft. DWL Area Basement Area 4V-263 /26 Split —7,5 7 / !� ¢ Garage Area I Storage �% Split Level Rancher TYPE 7. OF WORK 8. ❑ NEW ❑ BLD. DESCRIBE WORK VALUATION C ❑ ALT. O PLMB. ❑ AD'N. ❑ RPL. O MECH. ❑ M.H. ❑ MVE. ❑ POOL Source of Utilities GAS 0 OTHER ELECTRIC FL2 RAJ No. Baths No. Floors No. Rooms Rec. Room WATER CERTIFICATE of EXEMPTION SEWER Req'd. 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 type of work will be complied with whether specified herein or not. The granting of a permit does not resume to give authority to violate or cancel the provisions of any other state or loyal Iw regulating construc,lr' or the performance of construction. DATE tC ` (0 — 7q SIGNATURE DEPT. Env. Health Planning SPECIAL APPROVALS REQ'D. RECD. Fire Marshall Co. Engineer Utilities Zone Clearance SEPA Checklist SPECIAL CONDITIONS: xey DATE OFFICIA APPROVED FOR IS A CE Rec'd. No>�q'd. FEES COLLECTED Single Building Plumbing Mech. Plan Check SEPA Mobile Home Other (Specify) TOTAL rPEO?MIT N,:;,'VIBER DATE 02* *29500 *29500 V) *295006 E *0.00 8 5987 10-15-79 2 6479, WHEN MACHINE VALIDATED IN THIS SPACE, THIS r3FryCO11QE$ A F MIT. 598.82 *295.00a-12 4 • /11014-004C /.5'r 0. iktftelt 'fp qj -V0o,3 •DpeE-s-s Li I C t\ ARTISTIC CONSTRUCTION 2216 SO. BOLIVAR VERADALE, WA 99037