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1979, 12-07 Permit G79-8814 Oil TankPLAN NUMBER 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 LOT BLOCK OWNER ADDRESS CO yRACT -15. y 4. ADDRESS /V' /6/ 1/ SUBDIVISION DR r (, r- L- 7 , . I O t 1 DESIGNER 5' ADDRESS CHANGE OF USE FROM 6. TYPE 7. OF WORK O NEW ❑ BLD. ❑ ALT. ❑ PLMB. PHONE J �kr J C7��J ZIP �J2( )! PHONE ZIP PHONE ZIP TO ❑ AD N. 0 MECH: ❑ RPL. ❑ M.H. ❑ MVE. O POOL ❑ OTHER LEGAL DESCRIPTION - SEE ATTACHED PARCEL NUMBER/S Required Set Backs in Feet North (South (East Size of Parcel Type Const. Occupancy West Zone Classification Sprinklered ❑Yes ❑No ❑ Req'd. Valuation Building Area in Sq. Ft. DWL Area Basement Area Garage Area Split Entry Split Level - DfSCRIBE WORK VALUATION 9. Source of Utilities GAS ELECTR IC No. Baths No. Floors CERTIFICATE of EXEMPTION 7 ! —7—;--/ irk F.. WATER No. Rooms Req'd. SEWER 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 /• /J`/• SIGNATURE ���—'�r�����.r� DEPT, SPECIAL APPROVALS REQ'D. REC'D. Env. Health Planning Fire Marshall Co. Engineer Utilities Zone Clearance SEPA Checklist SPECIAL CONDITIONS: DATE/ ?' 7 9‘ OFFICIAL Storage Rancher IRec. Room Rec'd. Not Req'd. FEES COLLECTED Single $ Building Plumbing Mech. Plan Check SEPA Mobile Home Other (Specify) TOTAL $ �V PERMIT 'l� R DATE 7(% 04* *9,00 * 9.0 0 tri *9.006 E *0,00 881.32 12-07-79 2 6,479. „ WHEN MACHINE VALIDATED IN THIS SPACE, THIS BECOMES A P j3MIT. 3 Q L^ d *9,00°+ IM cnrrTnn