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1979, 09-12 Permit 79-3865 Residence, Garagefr PLAN NUMBER h APPLICATION/PERMIT SPOKANE COUNTY — BUILDING CODES DEPARTMENT NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675 APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 4 COPIES 1. 2. 3 JOB ADDRESS F LOT 7 OWNER BLOCK A Prpe_fry /0S/0 SUBDIVISIO er)o.c..ez. 44A/A ADDRESS 5. 7/ I44/E'S CONTRACTOR 4. %5A ADDRESS DESIGNER 5' ADDRESS CHANGE OF USE FROM 6. TYPE 7. OF WORK NEW `4. BLD. ❑ ALT. ❑ PLMB. TO ❑ AD'N. ❑ MECH: ❑ RPL. ❑ M.H. P ONE 28-i59Z PHONE ZIP PHONE ZIP ❑ MVE. O POOL 0 OTHER Size of Parcel /,QLG. ps E r PL Type Const. Occupancy Fail OW Valuation 70 LEGAL DESCRIPTION — SEE ATTACHED PARCEL NUMBER/S — a oa 7 Required Set Backs in Feet if North JD. 'South /Pr► LEast 2 7 Zone Classification (West �[ jS• S rinklered Dyes No 0 Req'd. Building Area in Sq. Ft. iWL`Area �em�I,a Garage Area 2Q Oe* Split Entry Y' 5 Vais C RTIFICATE of EXEMPTION Split Level Noms Req'd. Storage Rancher Rec'tl Rec. Room _ Not Req'd. 8.DESCRIBE WORK 44/014 ei`.A4!rA de QA/ ( asiDedic 64,61 VALUATION ELECTRIC TER SEWER ilt9. OO Utilities /.s7/s9► CI�?-' JI l�tJul P P ND-S2 T' � P 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 presume to give authority to violate or cancel the provisions of any other state or local law regulating construction or the performance of construction. DATE DEPT_ SPECIAL APPROVALS REQ'D. REC'D. SIGNATURE Env. Health Planning Fire Marshall Co. Engineer Utilities Zone Clearance SEPA Checklist SPECIAL CONDITIONS: e n itk AZilre >N I`1 r--t1 0 0,,(4Le5Tr /ry DATE OFFICIAL - - f![. FEES COLLECTED Single $ - OJ Building ' Plumbing Mech. Plan Check SEPA - Mobile Horne Other (Specify) TOTAL $ PERMIT NUM 5ER 79 38'c�6 DATE ri —1 02* *82C0 * 82.00 * 82.006 E *0,00 0 38642 09-12-79 2 6479, WHEN MACHINE VALIDATED IN THIS SPACE, THIS BECOMES A PERMIT. n 9,— 1 1I— 7 0 386.5z *8200a_H c h C L c No. Floors n nnnroirn rr n tcci1 A ref-i�c ___411LLLIC7: - Ja!NTUSE DRIVEWAY WITH LOT 8 LbT 7 BLOCK >:. MYRON ell AIMPARGELJYO. 04191.2--2007 PLO . FL. AN xara�16°sI•